| Lydia Patrice Nichols, LPN | |
|
19451 S Tamiami Trl Ste 12, Fort Myers, FL 33908-4815 | |
| (786) 777-8741 | |
| Not Available |
| Full Name | Lydia Patrice Nichols |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 19451 S Tamiami Trl Ste 12, Fort Myers, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255197588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN964691 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia Patrice Nichols, LPN 19451 S Tamiami Trl Ste 12, Fort Myers, FL 33908-4815 Ph: (786) 777-8741 | Lydia Patrice Nichols, LPN 19451 S Tamiami Trl Ste 12, Fort Myers, FL 33908-4815 Ph: (786) 777-8741 |
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