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NPI Code Detail

MEDICARE: DR. LAN ALBIN NELSON MD

MEDICARE:  DR. LAN ALBIN NELSON  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianG0496TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518051341
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAN ALBIN NELSON MD
Provider Business Mailing Address
First Line : 70E LAKEVIEW DR
Second Line :
City : POINTBLANK
State : TX
Zip : 77364-6982
Country : US
Telephone Number : 936-377-5451
Fax Number :
Provider Business Practice Location Address
First Line : 1221 UNIVERSITY AVE
Second Line : SUITE 102
City : HUNTSVILLE
State : TX
Zip : 77340-4632
Country : US
Telephone Number : 936-291-6274
Fax Number : 936-291-6274
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 07/08/2015

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Directions to “ DR. LAN ALBIN NELSON MD” Practice Location

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