Individual
DR. LAWRENCE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13806 436TH AVE, WEBSTER, SD 57274-5616
(605) 345-3734
Mailing address
13806 436TH AVE, WEBSTER, SD 57274-5616
(605) 345-3734
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8786
SD
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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