MS. Tracy Ann Nicholson
NPI #1275265753 in Lake Orion, Michigan
Provider Information
- NPI Number
- 1275265753
- Entity Type
- Individual
- Name
- MS. Tracy Ann Nicholson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist
- Enumeration Date
- Jun 24, 2022
- Last Updated
- Jun 27, 2022
Practice Location
- Address
- 1236 S LAPEER RD
- City
- Lake Orion
- State
- Michigan
- ZIP Code
- 48360-1433
- Phone
- (248) 712-4266
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist |
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