1831748318 Jack Lee Nicholson I
Attendant Care Provider
Active
Basic Information
- Full Name
- Jack Lee Nicholson I
- Gender
- Male
- Enumeration Date
- September 8, 2019
- Last Update
- September 8, 2019
Practice Location
- Address
- 460 AZTEC LN
LATHROP, CA 953309142 - Phone
- (209) 451-8732
Mailing Address
- Address
- 460 AZTEC LN
LATHROP, CA 953309142 - Phone
- N/A
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Attendant Care Provider Attendant Care Provider | 3747A0650X | Technician | N/A | N/A | No |
| Attendant Care Provider Attendant Care Provider | 3747A0650X | Technician | N/A | CA | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1933200000X | 05 | CA | N/A |
| 3747A0650X | 05 | CA | N/A |
| 193200000X | 05 | CA | N/A |
Frequently Asked Questions
What is Jack Lee Nicholson I's NPI number?
Jack Lee Nicholson I's NPI number is 1831748318.
Which doctor has NPI number 1831748318?
The doctor with NPI number 1831748318 is Jack Lee Nicholson I.
What is Jack Lee Nicholson I's practice address?
Jack Lee Nicholson I's practice address is 460 AZTEC LN, LATHROP, CA, 953309142.
Which doctor practices at 460 AZTEC LN, LATHROP, CA, 953309142?
Jack Lee Nicholson I practices at 460 AZTEC LN, LATHROP, CA, 953309142.
What is Jack Lee Nicholson I's phone number?
Jack Lee Nicholson I's phone number is (209) 451-8732.
Who is (209) 451-8732?
(209) 451-8732 is the phone number for Jack Lee Nicholson I.
What is Jack Lee Nicholson I's specialty?
Jack Lee Nicholson I's specialty is Attendant Care Provider.
What type of doctor is Jack Lee Nicholson I?
Jack Lee Nicholson I is a Attendant Care Provider.
Is Jack Lee Nicholson I a Attendant Care Provider?
Yes, Jack Lee Nicholson I is a Attendant Care Provider.
Is Jack Lee Nicholson I still practicing?
Yes, Jack Lee Nicholson I is currently practicing.
Is Jack Lee Nicholson I accepting new patients?
Jack Lee Nicholson I may be accepting new patients. Please call their office at (209) 451-8732 to inquire about availability.
Is NPI 1831748318 still active?
Yes, NPI 1831748318 is currently active.
Where does Jack Lee Nicholson I practice?
Jack Lee Nicholson I practices in LATHROP, CA.
Is Jack Lee Nicholson I a male or female doctor?
Jack Lee Nicholson I is a male doctor.