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Organization

LAKE MARY OB/GYN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIKA NICHELSON DO (DO)
(407) 323-2727
Entity
Organization

Contact information

Practice address
2500 W LAKE MARY BLVD, SUITE 109, LAKE MARY, FL 32746-3501
(407) 323-2727
(407) 323-2771
Mailing address
2500 W LAKE MARY BLVD, SUITE 109, LAKE MARY, FL 32746-3501
(407) 323-2727
(407) 323-2771

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary

Other

Enumeration date
10/05/2006
Last updated
08/22/2020
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