Individual
DR. RANDEE LYNE NICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5100 E BROADWAY BLVD, TUCSON, AZ 85711-3762
(210) 787-6442
Mailing address
5100 E BROADWAY BLVD, TUCSON, AZ 85711-3762
(210) 787-6442
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3463
AZ
207Q00000X
Family Medicine Physician
EL12010
NH
Other
Enumeration date
07/12/2006
Last updated
01/29/2025
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