Nelson, Lawrence

Nelson, Lawrence is an individual health care provider with primary practice located at 8103 Burden Rd , Machesney Park IL 61115-8208. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Nelson, Lawrence can be contacted via phone (815) 713-2600.

Contact Information

Primary practice address
8103 Burden Rd Machesney Park IL 61115-8208
Phone: (815) 713-2600
Fax: (815) 654-8020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 36089481 Illinois
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 036-089481 Illinois

Profile Details

NPI number 1427035534
LBN Legal business name Nelson, Lawrence
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Jun 13th, 2008 - about 17 years ago

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 1427035534 NPPES
Illinois Other 4673170001 DMERC
Illinois Other P00470671 DMERC

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