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1295934479
LISA NICHOLSON
LOS ANGELES, CA
NPI
1295934479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: CA 17370)
Enumeration Date
2007-07-17
Last Update Date
2018-06-01
Business Address
LISA NICHOLSON NP
200 MEDICAL PLAZA SUITE 265
LOS ANGELES, CA 90095
Phone number: 310-794-5066
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Mailing Address
LISA NICHOLSON NP
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number:
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