Lawrence M Nichols Md Inc

NPI 1023106846 - Dermatology - 207N00000X

NPI Details
NPI 1023106846
Enumeration Date 10/10/2006
Last Updated 09/23/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LAWRENCE MARTIN LAWRENCE
Position PRESIDENT
Phone (714) 522-2041
Fax (714) 522-8246
Practice Location
5471 LA PALMA AVE
SUITE 202
LA PALMA CA, 90623-4700, US
Phone (714) 522-2041
Fax (714) 522-8246
Business Location
5471 LA PALMA AVE
SUITE 202
LA PALMA CA, 90623-4700, US
Phone (714) 522-2041
Fax (714) 522-8246
Toxanomy
Taxonomy Code 207N00000X
License State California
License Number A23444
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According to our database, Lawrence M Nichols Md Inc NPI is 1023106846, taxonomy code is 207N00000X and license number is A23444, license state is located at California. Lawrence M Nichols Md Inc physically located at 5471 La Palma Ave, La Palma CA, 90623-4700. NPI Number 1033115704 has the healthcare provider type.

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1023106846 NPI number is provided on an as is basis without warranty of any kind. 1023106846 is maintained by the National Plan & Provider Enumeration System. The contents of Lawrence M Nichols Md Inc are for informational purposes only.