Individual
ANN LAUREL LICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 680-7214
(866) 264-8519
Mailing address
5900 BAYVIEW CIR S, GULFPORT, FL 33707-3930
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
ME83569
FL
2086S0105X
Surgery of the Hand (Surgery) Physician
ME83569
FL
Other
Enumeration date
02/08/2006
Last updated
12/22/2023
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