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NPI Code Detail

MEDICARE: CATHERINE LOIS NELSON D.O.

MEDICARE: CATHERINE LOIS NELSON D.O.
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
1208000000XPediatrics PhysicianPGY.202905LA
22080P0207XPediatric Hematology & Oncology Physician12682SD

General Provider Information

NPI Number : 1326420795
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE LOIS NELSON D.O.
Provider Business Mailing Address
First Line : PO BOX 5074
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57117-5074
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1600 W 22ND ST STE 6004
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57105-1521
Country : US
Telephone Number : 605-312-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2015
Last Update Date : 11/26/2021

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Directions to “ CATHERINE LOIS NELSON D.O.” Practice Location

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