MR. DAVID LAMONT NIELSON DPM NPI 1053503961

NPI Information

MR. David Lamont Nielson, DPM is a foot and ankle surgery podiatrist in Roanoke, VA with 20 years of experience. MR. David Lamont Nielson, DPM NPI is 1053503961. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2004

The provider's business location address is:

222 WALNUT AVE SW
ROANOKE, VA
ZIP 24016-723
Phone: (540) 344-3668
Fax: (540) 769-6381

The NPI 1053503961 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/14/2007 and was last updated on 11/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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