Individual
LAURIE S NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1150 COCOA AVE, HERSHEY, PA 17033-1712
(800) 243-1455
Mailing address
500 UNIVERSITY DR, MC CA410, HERSHEY, PA 17033-2360
(717) 531-5208
(717) 531-0119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD450079
PA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD450079
PA
208000000X
Pediatrics Physician
MT196655
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028895590001
—
PA
01
—
330319
MEDICARE
PA
Enumeration date
06/07/2010
Last updated
03/12/2026
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