Nickel, Lavonne Rae

Nickel, Lavonne Rae is an individual health care provider with primary practice located at 460 Plumas Blvd Suite 202, Yuba City CA 95991-5005. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Nickel, Lavonne Rae can be contacted via phone (209) 956-7732.

Contact Information

Primary practice address
460 Plumas Blvd Suite 202 Yuba City CA 95991-5005
Phone: (209) 956-7732
Fax: (530) 749-5520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G52307 California

Profile Details

NPI number 1134184021
LBN Legal business name Nickel, Lavonne Rae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Apr 1st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134184021 NPPES
California MEDICAID 00G523070
California Other 00G523070
California Other P00253089

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