Lance Michael Nelson, P.A.
Physician Assistant in Baton Rouge, LA. Individual provider (NPI-1).
NPI number1154734366
StatusActive
Last updated in NPPESJun 5, 2014
Details
- NPI
- 1154734366
- Entity type
- Individual (NPI-1)
- Name
- Lance Michael Nelson
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2014
- Last updated
- Jun 5, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PERMIT830 | LA | Yes |
Practice location
8080 Bluebonnet BlvdSuite 1000
Baton Rouge, LA 70810-7827
Phone 225-924-2424 · Fax 225-408-7984
Mailing address
8080 Bluebonnet BlvdSuite 1000
Baton Rouge, LA 70810-7827
Phone 225-924-2424 · Fax 225-408-7984
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