Ryan Robert Nelson
Contractor in Lake Charles, LA. Individual provider (NPI-1).
NPI number1205786456
StatusActive
Last updated in NPPESJan 29, 2026
Details
- NPI
- 1205786456
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ryan Robert Nelson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 29, 2026
- Certification date
- Jan 29, 2026
- Last updated
- Jan 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | LA | Yes |
Practice location
422 W Lagrange St Apt 16Lake Charles, LA 70605-1543
Phone 337-214-4305
Mailing address
422 W Lagrange St Apt 16Lake Charles, LA 70605-1543
Phone 337-214-4305
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