NICHOLAS H LORD

PHILADELPHIA, PA
NPI1013510767
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NJ  25MP00611400)
Enumeration Date2020-11-17
Last Update Date2021-03-19
Business Address
NICHOLAS H LORD
512 E GIRARD AVE APT 202
PHILADELPHIA, PA 19125-3358
Phone number: 570-573-4869
Mailing Address
NICHOLAS H LORD
512 E GIRARD AVE APT 202
PHILADELPHIA, PA 19125-3358
Phone number: 570-573-4869
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