Lonny James Nicholson JR.
NPI #1083266456 in Yucca Valley, California
Provider Information
- NPI Number
- 1083266456
- Entity Type
- Individual
- Name
- Lonny James Nicholson JR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jul 15, 2019
- Last Updated
- Jul 15, 2019
Practice Location
- Address
- 58471 29 PALMS HWY STE 102
- City
- Yucca Valley
- State
- California
- ZIP Code
- 92284-5818
- Phone
- (760) 853-4888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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