Lawrence M Nichols MD INC

NPI #1023106846 in La Palma, California

Provider Information

NPI Number: 1023106846
Entity Type: Organization
Organization Name: Lawrence M Nichols MD INC
Primary Specialty: Dermatology
Enumeration Date: Oct 10, 2006
Last Updated: Sep 23, 2010

Practice Location

Address: 5471 LA PALMA AVE
Address 2: SUITE 202
City: La Palma
State: California
ZIP Code: 90623-4700
Phone: (714) 522-2041

Authorized Official

Name: DR. LAWRENCE MARTIN NICHOLS, MD
Title: PRESIDENT
Phone: (714) 522-2041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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