Individual
NICHOLAS H LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2201 CHAPEL AVE W, CHERRY HILL, NJ 08002-2048
(856) 488-6500
Mailing address
209 DICKINSON ST, PHILADELPHIA, PA 19147-6003
(570) 573-4869
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00611400
NJ
Other
Enumeration date
11/17/2020
Last updated
04/07/2025
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