Individual
DR. NICOLE ANN LEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
4433 E VILLAGE RD, SUITE D, LONG BEACH, CA 90808-1505
(818) 850-5326
Mailing address
PO BOX 422, SEAL BEACH, CA 90740-0422
(818) 850-5326
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
ND-549
CA
Other
Enumeration date
10/19/2012
Last updated
07/23/2013
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