Individual
LANA NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
HWY 281N, CANDO, ND 58324
(701) 968-2541
(701) 968-2574
Mailing address
PO BOX 688, CANDO, ND 58324-0688
(701) 968-2541
(701) 968-2574
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
706
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11769
—
ND
01
—
21478
BCBS PROVIDER #
ND
01
—
24030
BCBS PROVIDER #
ND
Enumeration date
07/11/2006
Last updated
07/09/2007
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