Nicole Leclair Soltow, DO
Family Medicine in Lansing, MI. Individual provider (NPI-1).
NPI number1164089611
StatusActive
Last updated in NPPESJul 6, 2022
Details
- NPI
- 1164089611
- Entity type
- Individual (NPI-1)
- Name
- Nicole Leclair Soltow
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 21, 2019
- Certification date
- Jul 6, 2022
- Last updated
- Jul 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 5101026207 | MI | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 5151013550 | MI |
Practice location
1215 E Michigan AveLansing, MI 48912-1896
Phone 517-364-1000
Mailing address
1215 E Michigan AveLansing, MI 48912-1811
Phone 517-364-1000
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