Dr. Lawrence Martin Nichols
Dermatologist
5471 La Palma Ave Ste. 202
La Palma
, California 90623-1745
Dr. Lawrence Martin Nichols
Dermatologist
5471 La Palma Ave Ste. 202
La Palma
, California 90623-1745
(714) 522-8246
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Lawrence Martin Nichols
- 5471 La Palma Ave Ste. 202
- La Palma, CA
- Zip : 90623-1745
- Fax : (714) 522-8246
- Phone : (714) 522-2041
Second Address
- Dr. Lawrence Martin Nichols
- 5471 La Palma Ave Ste. 202
- La Palma, CA
- Zip : 90623-1745
- Fax : (714) 522-8246
- Phone : (714) 522-2041
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | A23444 | CA |
National Provider Identifier
| NPI | 1003001017 |
|---|---|
| Provider Name | Dr. Lawrence Martin Nichols |
| First Address | La Palma, CA 90623-1745 |
| Second Address | La Palma, CA 90623-1745 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/09/2007 |
| Last Update Date | 23/09/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.