Individual
DR. LEE G NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1105 W 4TH ST, DAVENPORT, IA 52802-3512
(563) 322-7052
(563) 322-7052
Mailing address
1105 W 4TH ST, DAVENPORT, IA 52802-3512
(563) 322-7052
(563) 322-7052
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
04883
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0199505
—
IA
01
—
19950
BLUE CROSS BLUE SHIELD
IA
Enumeration date
11/20/2005
Last updated
12/23/2009
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