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Individual

LOWELL T. NICHOLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
505 PARNASSUS AVE, ROOM M-987, SAN FRANCISCO, CA 94143-2204
(415) 476-1528
Mailing address
1701 DIVISADERO ST FL 4, SAN FRANCISCO, CA 94115-3011

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
12441612-1205
UT
207N00000X
Dermatology Physician
Primary
A159922
CA

Other

Enumeration date
03/25/2017
Last updated
04/09/2025
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