Organization
LARRY R NELSON M.D. INC P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY R NELSON (DOCTOR)
(360) 736-0713
Entity
Organization
Contact information
Practice address
1800 COOKS HILL RD, CENTRALIA, WA 98531-9068
(360) 736-0713
(360) 330-8680
Mailing address
1401 MARVIN RD NE STE 307-266, LACEY, WA 98516-5709
(360) 491-5055
(360) 491-5890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25290013431
WA
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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