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1750380648
LISA A NICHOLAS
LOS ANGELES, CA
NPI
1750380648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: CA A37695)
Enumeration Date
2005-07-21
Last Update Date
2010-04-19
Business Address
-- LISA A NICHOLAS MD
200 MEDICAL PLZ STE 430
LOS ANGELES, CA 90095-0001
Phone number: 310-794-7274
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Mailing Address
-- LISA A NICHOLAS MD
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number: 310-794-7274
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