Nelson, Lawrence Grant

Nelson, Lawrence Grant is an sole proprietor health care provider with primary practice located at 1381 S Patrick Dr , Patrick Afb FL 32925-3606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Nelson, Lawrence Grant can be contacted via phone (321) 494-8088.

Contact Information

Primary practice address
1381 S Patrick Dr Patrick Afb FL 32925-3606
Phone: (321) 494-8088
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME139584 Florida

Profile Details

NPI number 1316085996
LBN Legal business name Nelson, Lawrence Grant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2007
Last updated Jul 22nd, 2026 - about 3 months 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 1316085996 NPPES
Utah MEDICAID 1316085996
Utah Other ME139584

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