IndividualActive
Ryan Nelson
NPI 1205786456 · Contractor · Lake Charles, LA
Provider details
- NPI number
- 1205786456
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
422 W Lagrange St Apt 16
Lake Charles, LA 70605-1543
Phone: (337) 214-4305
Approximate (ZIP-level) locationGet directions
Mailing address
422 W Lagrange St Apt 16
Lake Charles, LA 70605-1543
Registry dates
- Enumerated
- 2026-01-29
- Last updated
- 2026-01-29
- Certified
- 2026-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.