Organization
LAWRENCE M NICHOLS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE MARTIN NICHOLS MD (PRESIDENT)
(714) 522-2041
Entity
Organization
Contact information
Practice address
5471 LA PALMA AVE, SUITE 202, LA PALMA, CA 90623-4700
(714) 522-2041
(714) 522-8246
Mailing address
5471 LA PALMA AVE, SUITE 202, LA PALMA, CA 90623-4700
(714) 522-2041
(714) 522-8246
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A23444
CA
Other
Enumeration date
10/10/2006
Last updated
09/23/2010
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