Individual
DR. LARS OLA NILSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
10 CENTER DRIVE MSC 1103, BLDG 10-CRC, ROOM 1-3330, BETHESDA, MD 20892-0001
(301) 451-0397
(301) 480-3932
Mailing address
10 CENTER DRIVE MSC 1103, BLDG 10-CRC, ROOM 1-3330, BETHESDA, MD 20892-0001
(301) 451-0397
(301) 480-3932
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5333794
ZZ
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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