Larry Lee Nicholson II Od
NPI #1477595783 in Huntingdon, Tennessee
Provider Information
- NPI Number
- 1477595783
- Entity Type
- Organization
- Organization Name
- Larry Lee Nicholson II Od
- Primary Specialty
- Optometrist
- Enumeration Date
- Jun 12, 2006
- Last Updated
- Oct 2, 2013
Practice Location
- Address
- 19870 MAIN ST E
- City
- Huntingdon
- State
- Tennessee
- ZIP Code
- 38344-3927
- Phone
- (731) 986-4400
Authorized Official
- Name
- LARRY LEE NICHOLSON II OD, O.D.
- Title
- OWNER CORPORATION PRESIDENT
- Phone
- (731) 986-4400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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