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Primary Practice Address
5471 LA PALMA AVE STE. 202
LA PALMA, CA 90623-1745 US
PECOS Enrolled

Lawrence Martin Nichols

Dermatologist


Lawrence Martin Nichols

Overview

Lawrence Martin Nichols is a Dermatologist in the LA PALMA area. Lawrence Martin Nichols primary office location is at 5471 LA PALMA AVE and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1003001017 and the information was updated approximately 11 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: YES

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
5471 LA PALMA AVE STE. 202
LA PALMA, CA 90623-1745 US
Phone: (714)-522-2041
Fax:
Practice Mailing Information
5471 LA PALMA AVE
LA PALMA, CA 90623-1745 US
Phone: (714)-522-2041
Fax: (714)-522-8246
License Number State
A23444 CA

No Identifiers found

Taxonomy StatePrimary?
Dermatologist - Taxonomy Code 207N00000X CAY

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) Yes