Individual provider · Type 1 NPI

Tracy Ann Nicholson

Technician/Technologist · Lake Orion, MI

NPI number 1275265753 Active

Practice location

1236 S Lapeer Rd
Lake Orion, MI 48360-1433

Other practice locations

  • 32100 Telegraph Rd, Bingham Farms, MI 48025-2452 · (248) 712-4266

Specialties and licenses

TaxonomyCodeLicense
Technician/Technologist Primary 156F00000XNone listed

Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.

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About NPI 1275265753

Tracy Ann Nicholson's National Provider Identifier is 1275265753, issued on Jun 24, 2022. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Lake Orion, MI. The record was last updated on Jun 27, 2022.