Larry R. Nelson in Centralia - Internal Medicine

Larry R. Nelson - NPI 1801814892

Larry R. Nelson is a Internal Medicine in Centralia, Washington. Larry R. Nelson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Larry R. Nelson is 1801814892. The last update date is 2007-07-09.

Larry R. Nelson's current location address is 1800 Cooks Hill Rd, Centralia, Washington. You can contact this provider via phone number 3607360713 and fax number 3603308680. The mailing address for Larry R. Nelson is 1800 Cooks Hill Rd, Centralia, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Larry R. Nelson
Address 1800 Cooks Hill Rd, Centralia, Washington
Phone Number 3607360713
Fax Number 3603308680
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1801814892
Provider Enumeration Date 2006-07-17
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 1800 Cooks Hill Rd
City Centralia
State Washington (WA)
Post Code 985319072
Phone Number 3607360713
Fax Number 3603308680

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 252-9 001343
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
14818 WA L&I WORKERS COMP
1625003 WA --
L00240 WA BLUE CROSS/BLUE SHIELD

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FAQs about Larry R. Nelson

What is the unique identification code assigned to Larry R. Nelson by the Centers for Medicare & Medicaid Services?

The Larry R. Nelson has been issued the NPI (National Provider Identifier) 1801814892. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Larry R. Nelson's facilities are situated?

The facilities of Larry R. Nelson are physically located at the following address: 1800 Cooks Hill Rd, Centralia, WA, 985319072.

What is Larry R. Nelson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Larry R. Nelson's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.

On what date did Larry R. Nelson receive its 1801814892 assignment from the Centers for Medicare & Medicaid Services?

The Larry R. Nelson was assigned its 1801814892 on 2006-07-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Larry R. Nelson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Larry R. Nelson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.

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