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1275900102
LORI NICHOLAS
PORTLAND, ME
NPI
1275900102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ME CNP151108)
Enumeration Date
2015-08-26
Last Update Date
2017-12-13
Business Address
LORI NICHOLAS PMHNP-BC
180 PARK AVE
PORTLAND, ME 04102-2957
Phone number: 207-874-2141
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Mailing Address
LORI NICHOLAS PMHNP-BC
180 PARK AVE
PORTLAND, ME 04102-2957
Phone number: 207-874-2141
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