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NPI Code Detail

MEDICARE: DR. NICOLE ANN LEAN N.D.

MEDICARE:  DR. NICOLE ANN LEAN  N.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175F00000XNaturopathND-549CA

General Provider Information

NPI Number : 1710230354
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICOLE ANN LEAN N.D.
Provider Business Mailing Address
First Line : PO BOX 422
Second Line :
City : SEAL BEACH
State : CA
Zip : 90740-0422
Country : US
Telephone Number : 818-850-5326
Fax Number :
Provider Business Practice Location Address
First Line : 4433 E VILLAGE RD
Second Line : SUITE D
City : LONG BEACH
State : CA
Zip : 90808-1505
Country : US
Telephone Number : 818-850-5326
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2012
Last Update Date : 07/23/2013

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Directions to “ DR. NICOLE ANN LEAN N.D.” Practice Location

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