Lajara-Nanson, Walter A

Lajara-Nanson, Walter A is an individual health care provider with primary practice located at 1401 25Th Street South 3Rd Floor, Great Falls MT 59405-5183. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Lajara-Nanson, Walter A can be contacted via phone (406) 731-8888.

Contact Information

Primary practice address
1401 25Th Street South 3Rd Floor Great Falls MT 59405-5183
Fax: (406) 731-8876
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X L4510 Texas
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 75041 Montana

Profile Details

NPI number 1528050283
LBN Legal business name Lajara-Nanson, Walter A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Apr 8th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528050283 NPPES
Oklahoma MEDICAID 100056860A

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