Individual
DR. HEATHER LEIGH LICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4306
(256) 539-2728
Mailing address
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4306
(256) 539-2728
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
38813
AL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
38813
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75-2616977-021
TRICARE
TX
01
—
752616977021
TRICARE
TX
01
—
P01912547
MEDICARE RAIL ROAD
TX
Enumeration date
06/17/2011
Last updated
05/02/2024
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