Provider Demographics
NPI:1689976946
Name:NELSON, LANCE ARTHUR (AUD)
Entity Type:Individual
Prefix:DR
First Name:LANCE
Middle Name:ARTHUR
Last Name:NELSON
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 MARICOPA HWY STE B
Mailing Address - Street 2:
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023-3154
Mailing Address - Country:US
Mailing Address - Phone:805-643-9063
Mailing Address - Fax:805-633-9068
Practice Address - Street 1:1320 MARICOPA HWY STE B
Practice Address - Street 2:
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-3154
Practice Address - Country:US
Practice Address - Phone:805-643-9063
Practice Address - Fax:805-633-9068
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-18
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU 2742237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter