Individual
LYNN NYKOLUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 S COLUMBIA RD, GRAND FORKS, ND 58201
(701) 780-5000
Mailing address
1000 S COLUMBIA RD, GRAND FORKS, ND 58201
(701) 780-5000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1287
HI
235Z00000X
Speech-Language Pathologist
Primary
6327
MN
Other
Enumeration date
03/06/2014
Last updated
05/11/2017
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