Individual
DR. NANCY LOUISE SICOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8631 W 3RD ST, 215 EAST, LOS ANGELES, CA 90048-5901
(310) 423-6472
Mailing address
PO BOX 512480, LOS ANGELES, CA 90051-0480
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G79260
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G792600
—
CA
Enumeration date
07/19/2006
Last updated
05/21/2012
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