MEDICARE: DR. LOIS A NELSON M.D.

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
1	207K00000X	Allergy & Immunology Physician	35045307	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1316945678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOIS A NELSON M.D.

Provider Business Mailing Address
First Line	:	3454 OAK ALLEY CT
Second Line	:	SUITE 202
City	:	TOLEDO
State	:	OH
Zip	:	43606-1370
Country	:	US
Telephone Number	:	419-536-1322
Fax Number	:	419-536-0302

Provider Business Practice Location Address
First Line	:	3454 OAK ALLEY CT STE 202
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-1370
Country	:	US
Telephone Number	:	419-536-1322
Fax Number	:	419-251-7715

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	07/21/2022

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Directions to “ DR. LOIS A NELSON M.D.” Practice Location

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