# DR. JENNIFER LICHON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1588047203
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 5101022079 | MI | — |
| 207V00000X | Obstetrics & Gynecology Physician | OS16126 | FL | Yes |

## Other

- **Enumeration date:** 06/30/2015
- **Last updated:** 07/16/2019