MR. Colby Lake Nicholson, FNP-C

NPI #1558953737 in Lagrange, Georgia

Provider Information

NPI Number
1558953737
Entity Type
Individual
Name
MR. Colby Lake Nicholson, FNP-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
FNP-C
Enumeration Date
Feb 9, 2021
Last Updated
Feb 9, 2021

Practice Location

Address
309 VERNON ST
State
Georgia
ZIP Code
30240-3162
Phone
(706) 885-9110

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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