Most Relevant Information
Provider Data
| NPI Number: | 1003001017 |
| Provider Name: | LAWRENCE MARTIN NICHOLS M.D |
| Entity Type: | Individual |
| Taxonomy Code: | 207N00000X |
| Specialty: | Dermatology |
| License Number: | A23444 |
Most Important Dates
| Enumeration Date: | 09/12/2007 |
| Last Updated: | 09/23/2010 |
Provider Practice Location
5471 LA PALMA AVE
STE. 202
LA PALMA
CA
906231745
Practice Location Phone/Fax
| Phone: | 7145222041 |
| Fax: | 7145228246 |
Provider Mailing Location
5471 LA PALMA AVE
STE. 202
LA PALMA
CA
906231745
Provider Mailing Phone/Fax
| Phone: | 7145222041 |
| Fax: | 7145228246 |