Lila Jayne Nelson

NPI #1093189946 in North Bellmore, New York

Provider Information

NPI Number: 1093189946
Entity Type: Individual
Name: Lila Jayne Nelson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Nov 16, 2015
Last Updated: Nov 16, 2015

Practice Location

Address: 2350 CLEVELAND ST
City: North Bellmore
State: New York
ZIP Code: 11710-2164
Phone: (516) 993-7364

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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