Individual
DR. MICHAEL KEITH LICHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-3382
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
237195
MA
207N00000X
Dermatology Physician
Primary
DR.0058361
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027998
KAISER COMMERCIAL NUMBER
CO
05
—
110083961A
—
MA
01
—
BP1-0026117
INSTITUTIONAL PERMIT
—
Enumeration date
05/31/2007
Last updated
07/21/2022
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