Individual
NICHOLAS LANCE DEGLOPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
830 KEMPSVILLE RD, NORFOLK, VA 23502-3920
(757) 261-6000
Mailing address
907 SUNSET HILLS AVE NW, GRAND RAPIDS, MI 49534-3639
(616) 915-7160
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601012131
MI
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/22/2022
Last updated
03/26/2025
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