Individual
LAUREN ASHLEY NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6152 BELLOWS LAKE RD, LAKE ANN, MI 49650-9713
(313) 590-2631
Mailing address
302 HOBART ST, CADILLAC, MI 49601-2379
(231) 876-2644
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704275084
MI
Other
Enumeration date
01/03/2022
Last updated
09/05/2024
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