Individual
NICKOLAS LINNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
120 EAST ST, LUDLOW, MA 01056-3409
(413) 887-1797
Mailing address
28 PLEASANT ST, LUDLOW, MA 01056-2527
(413) 887-1797
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
6100
MA
171W00000X
Contractor
6100
MA
Other
Enumeration date
10/08/2017
Last updated
10/08/2017
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