Individual
BRYAN LICHTFUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
305 RACINE ST, MENASHA, WI 54952-2359
(920) 722-4759
(920) 722-3197
Mailing address
305 RACINE ST, MENASHA, WI 54952-2359
(920) 722-4759
(920) 722-3197
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14972-40
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14972-40
PHARMACY LICENSE NUMBER
WI
Enumeration date
10/26/2011
Last updated
10/26/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us