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General NPI Number Information
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NPI Number | 1174650402
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Entity Type | Organization
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Legal Business Name | LOIS A. NELSON, MD LLC
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3454 OAK ALLEY CT SUITE 202
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City | TOLEDO
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State | OH
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Zip | 43606-1370
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Country | US
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Telephone | 419-536-1322
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Fax | 419-536-0302
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Provider Business Mailing Address
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Address Line | 3454 OAK ALLEY CT SUITE 202
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City | TOLEDO
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State | OH
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Zip | 43606-1370
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Country | US
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Telephone | 419-536-1322
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Fax | 419-536-0302
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Authorized Official
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Title or Position | PRESIDENT
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Name | LOIS A. NELSON
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Credential | M.D.
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Telephone | 419-536-1322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 35-045307
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License Number State | OH
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