NPI 1003001017

Lawrence Martin Nichols, MD

Practitioner Dermatology Physician La Palma, CA

Practice location

Address: 5471 La Palma Ave STE. 202, La Palma, CA 90623-1745
Phone: (714) 522-2041
Fax: (714) 522-8246

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence A23444 (CA)

Other Dermatology providers in California →

Registry record

NPI: 1003001017
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Sep 2007
Record last updated: 23 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.