Nicholson Urology LLC

NPI #1669297941 in Lima, Ohio

Provider Information

NPI Number: 1669297941
Entity Type: Organization
Organization Name: Nicholson Urology LLC
Subpart: Yes (part of a larger organization)
Parent Organization: WEST CENTRAL OHIO UROLOGICAL CENTERS OF EXCELLENCE, LLC
Primary Specialty: Non-Pharmacy Dispensing Site
Enumeration Date: Nov 20, 2024
Last Updated: Nov 20, 2024

Practice Location

Address: 2751 FORT AMANDA RD
City: Lima
State: Ohio
ZIP Code: 45805-4805
Phone: (567) 529-9000

Authorized Official

Name: KELLY ELAINE BOWERS, BSN, RN
Title: COO/CCO
Phone: (567) 529-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Non-Pharmacy Dispensing Site	332900000X	Primary

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