Healthcare Provider Details

I. General information

NPI: 1366832172
Provider Name (Legal Business Name): NICOLE LACHMAN APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2015
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

919 SE 2ND ST
MILFORD DE
19963-1577
US

IV. Provider business mailing address

919 SE 2ND ST
MILFORD DE
19963-1577
US

V. Phone/Fax

Practice location:
  • Phone: 302-363-5839
  • Fax:
Mailing address:
  • Phone: 302-363-5839
  • Fax: 302-424-7755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPN-0001828
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPN-0001828
License Number StateDE
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN-0001828
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: