Individual
LESLI IZELLA NICOLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11370 ANDERSON ST, SUITE 2050, LOMA LINDA, CA 92354-3450
(909) 558-2735
(909) 558-2731
Mailing address
11370 ANDERSON ST, SUITE 2050, LOMA LINDA, CA 92354-3450
(909) 558-2735
(909) 558-2731
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A98098
CA
Other
Enumeration date
06/01/2007
Last updated
09/10/2013
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