Individual
DR. STEPHEN LEWIS NELSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
4720 S I-1-10 SERVICE RD SUITE 401, METARIE, LA 70001
(504) 988-9235
(504) 988-7654
Mailing address
1415 TULANE AVE, ROOM 6809, NEW ORLEANS, LA 70112-2600
(504) 988-6751
(504) 988-2568
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
201697
LA
208000000X
Pediatrics Physician
71165
MD
2084E0001X
Epilepsy Physician
201697
LA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
19921
MS
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
201697
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A845150
—
CA
05
—
1021075
—
LA
Enumeration date
07/07/2006
Last updated
08/22/2024
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