Lesley D Nicholson

NPI #1801169875 in Cypress, California

Provider Information

NPI Number: 1801169875
Entity Type: Individual
Name: Lesley D Nicholson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Feb 21, 2012
Last Updated: Dec 2, 2013

Practice Location

Address: 9827 WALKER ST
City: Cypress
State: California
ZIP Code: 90630-3826
Phone: (714) 220-9001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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