Nicholson, Lani Jeanne

Nicholson, Lani Jeanne is an individual health care provider with primary practice located at 460 Quincy Ave , Quincy MA 02169-8130. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Nicholson, Lani Jeanne can be contacted via phone (617) 847-1950.

Contact Information

Primary practice address
460 Quincy Ave Quincy MA 02169-8130
Phone: (617) 847-1950
Fax: (617) 774-1490
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 59991 Massachusetts
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 59991 Massachusetts

Profile Details

NPI number 1275542920
LBN Legal business name Nicholson, Lani Jeanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Sep 11th, 2025 - about last year

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 1275542920 NPPES
Massachusetts Other J12395 BLUE CROSS/BLUE SHIELD

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