Individual
MRS. LAUREN AMY NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
626 34TH ST NW, CANTON, OH 44709-2943
(330) 492-7171
Mailing address
4822 KELLY AVE, ROOTSTOWN, OH 44272-9286
(440) 334-4392
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AG06210248
OH
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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