Physician Compare National (NPI:1316945678)

HEALTHCARE PROVIDER: LOIS A NELSON M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1316945678
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1456313022
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20041028000906
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NELSON
	Individual professional last name
Provider First Name	LOIS
	Individual professional first name
Provider Middle Name	ANNE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1973
	Individual professional's medical school graduation year
Primary Specialty	ALLERGY/IMMUNOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	960 W WOOSTER
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 108
	Group Practice or individual's line 2 address
City	BOWLING GREEN
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	43402
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	360112
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCY ST VINCENT MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360029
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WOOD COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	360068
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PROMEDICA TOLEDO HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	360262
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	MERCY ST ANNE HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y