Lillie Mae Nicholson
NPI #1992428908 in Kingwood, West Virginia
Provider Information
- NPI Number
- 1992428908
- Entity Type
- Individual
- Name
- Lillie Mae Nicholson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Sep 23, 2022
- Last Updated
- Sep 23, 2022
Practice Location
- Address
- 419 MORGANTOWN ST
- City
- Kingwood
- State
- West Virginia
- ZIP Code
- 26537-1095
- Phone
- (304) 329-3565
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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