Individual
LAURA NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1232 N 30TH ST STE 100, BILLINGS, MT 59101-0139
(406) 281-8700
Mailing address
3401 AVENUE E, BILLINGS, MT 59102-6561
(406) 281-8700
(406) 281-8708
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7635
MT
2080P0006X
Developmental - Behavioral Pediatrics Physician
7635
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76704
—
MT
Enumeration date
08/29/2006
Last updated
09/28/2020
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