Individual
LORRAINE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1220 BILTMORE DR, LAWRENCE, KS 66049-1995
(785) 505-2626
(785) 505-5333
Mailing address
1220 BILTMORE DR, LAWRENCE, KS 66049-1995
(785) 331-1700
(785) 331-1799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0530777
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200266070A
—
KS
Enumeration date
05/31/2005
Last updated
09/02/2021
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