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Lisa Nicholson, NP — NPI 1295934479, Los Angeles, CA | NPI Central

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NPI 1295934479

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Lisa Nicholson, NP

NPI 1295934479 · Neonatal Nurse Practitioner · Los Angeles, CA

Provider details

NPI number: 1295934479
Entity type: Individual
Primary specialty: Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Credential: NP
Sex: Female
Sole proprietor: No
License: 17370 (CA)

Specialties & taxonomies

Neonatal Nurse PractitionerPrimary363LN0000XLicense 17370 (CA)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

200 Medical Plaza Suite 265

Los Angeles, CA 90095

Phone: (310) 794-5066

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

5767 W Century Blvd Ste 400

Los Angeles, CA 90045-5631

Additional practice locations (1)

3291 Loma Vista Rd
Ventura, CA 93003-3099
Phone: (805) 652-6100

Registry dates

Enumerated: 2007-07-17
Last updated: 2018-06-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.