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Individual

LORRI A. NICHOLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
34730 PACIFIC HWY S, FEDERAL WAY, WA 98003-6821
(253) 927-0660
Mailing address
34730 PACIFIC HWY S, FEDERAL WAY, WA 98003-6821
(253) 927-0660

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001902
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0065641
LABOR AND INDUSTRIES
WA
01
OH6332
REGENCE BLUE SHIELD
WA
Enumeration date
05/11/2006
Last updated
05/04/2009
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