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Individual

DR. ROBERT J NICHOLSON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
42078 VETERANS AVENUE, SUITE G, HAMMOND, LA 70403
(985) 542-7177
(985) 340-7078
Mailing address
42078 VETERANS AVENUE, SUITE G, HAMMOND, LA 70403
(985) 542-7177
(985) 340-7078

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
016664
LA

Other

Enumeration date
01/12/2015
Last updated
06/19/2023
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