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Mr. Colby Lake Nicholson, FNP-C
Family Nurse Practitioner in Lagrange, Georgia
NPI 1558953737

Colby Lake Nicholson is a Family Nurse Practitioner based in Lagrange, GA and is specialized in Family. Colby Lake Nicholson practices in Lagrange, GA and has the professional credentials of FNP-C. The NPI Number for Colby Lake Nicholson is 1558953737 and holds a License No. RN259729 (Georgia).

The current practice location address for Colby Lake Nicholson is 309 Vernon St, Lagrange, GA and can be reached out via phone at 706-885-9110.

Location: 309 Vernon St, Lagrange, GA, 30240-7791
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558953737
Provider Name
Colby Lake Nicholson
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
309 Vernon St, Lagrange, GA, 30240-7791
Phone Number
706-885-9110
Fax Number
Provider Enumeration Date
02/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
309 Vernon St
City
Lagrange
State
Georgia
Zip
30240-3162
Phone Number
706-885-9110
Fax Number
person
Provider Business Mailing Address Details
Address
309 Vernon St
City
Lagrange
State
Georgia
Zip
30240-3162
Phone Number
706-885-9110
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN259729 (Georgia)
Definition
Definition to come...
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