LANCE J NELSON

ACTIVE EDGE PHYSICAL THERAPY AND SPORTS MEDICINE P.C.

Dr LANCE J NELSON is a male medical professional, specializing in Physical Therapy. He graduated in 2016.

Contact

ACTIVE EDGE PHYSICAL THERAPY AND SPORTS MEDICINE P.C.

2020 8TH AVE
SUITE D
WEST LINN
OR
970684657

Tel: 5033875449

LANCE J NELSON Information

Npi 1851741227
Pac Id 8729376108
Professional Enrollment Id I20161018002133
Last Name NELSON
First Name LANCE
Middle Name J
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2016
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ACTIVE EDGE PHYSICAL THERAPY AND SPORTS MEDICINE P.C.
Group Practice Pac Id 7113080714
Number Of Group Practice Members 7
Line 1 Street Address 2020 8TH AVE
Line 2 Street Address SUITE D
Marker Of Address Line 2 Suppression
City WEST LINN
State OR
Zip Code 970684657
Phone Number 5033875449
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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