Individual
SUSAN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1455 DIXON AVE STE 300, LAFAYETTE, CO 80026-8880
(303) 443-8500
Mailing address
1455 DIXON AVE STE 300, LAFAYETTE, CO 80026-8880
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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