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Individual

MS. NICOLE LAURA SOLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
16 DEERHAVEN RD, LINCOLN, MA 01773-1806
(781) 454-6446
Mailing address
82 NEW PARK AVE, NORTH FRANKLIN, CT 06254-1807
(860) 889-7345

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA6959
MA
363AS0400X
Surgical Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06-0870975
TAX ID
CT
Enumeration date
10/24/2018
Last updated
06/25/2021
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