Most Relevant Information
Provider Data
| NPI Number: | 1003003682 |
| Provider Name: | LAURIE F NICHOLSON O.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 1486 |
Most Important Dates
| Enumeration Date: | 09/27/2007 |
| Last Updated: | 09/27/2007 |
Provider Practice Location
6010 S HOLLY ST
GREENWOOD VILLAGE
CO
801114251
Practice Location Phone/Fax
| Phone: | 3037219666 |
| Fax: |
Provider Mailing Location
6010 S HOLLY ST
GREENWOOD VILLAGE
CO
801114251
Provider Mailing Phone/Fax
| Phone: | 3037219666 |
| Fax: |