Individual
LUKE NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
33C SIDNEY CT, PITTSBURGH, PA 15203-2177
(740) 275-1322
Mailing address
33C SIDNEY CT, PITTSBURGH, PA 15203-2177
(740) 275-1322
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10269
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/09/2016
Last updated
06/20/2019
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