DR. LARA NELSON M.D. NPI 1477585370

NPI Information

NPI: 1477585370
Provider Name: DR. LARA NELSON, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
UNIVERSITY OF MINNESOTA PHYSICIANS
516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-2916
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DR. Lara Nelson, M.D. is a pediatrics in Minneapolis, MN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Lara Nelson, M.D. NPI is 1477585370. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

UNIVERSITY OF MINNESOTA PHYSICIANS
516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-2916

The NPI 1477585370 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), Power Mobility Devices.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 12/5/2011.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0203X	Pediatrics	Pediatric Critical Care Medicine	47248	MINNESOTA	No
2	208000000X	Pediatrics		47248	MINNESOTA	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	12-09026	OTHER	MINNESOTA	MEDICA PRIMARY
2	I23984	MEDICARE UPIN	MINNESOTA
3	2280061	OTHER	MINNESOTA	ARAZ
4	1042757	OTHER	MINNESOTA	PREFERRED ONE
5	12-03170	OTHER	MINNESOTA	MEDICA CHOICE
6	810000134	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA	MEDICARE
7	132491	OTHER	MINNESOTA	UCARE
8	809629500	MEDICAID	MINNESOTA
9	34608800	MEDICAID	WISCONSIN
10	179R3NE	OTHER	MINNESOTA	BCBS
11	HP48317	OTHER	MINNESOTA	HEALTHPARTNERS
12	0595652	MEDICAID	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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