Organization Name: | GARY D LICHTEN MD INC |
NPI Number: | 1922213388 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GARY D LICHTEN (PRESIDENT) |
Mailing Address: | 157 W Cedar St Ste. 201 Akron |
State: | OH US |
Postal Code: | 443072564 |
Phone Number: | 3302537164 |
Fax Number: | 3304343376 |
NPI Enumeration Date: | 05/11/2007 |
NPI Last Update Date: | 05/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 35038945 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |