Individual
DR. DAVID RICHARD LICHTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
29320 US HIGHWAY 27, LEESBURG, FL 34748-8227
(352) 360-0400
(352) 360-0404
Mailing address
29320 US HIGHWAY 27, LEESBURG, FL 34748-8227
(352) 360-0400
(352) 360-0404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS006324
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110060650
MEDICARE RAILROAD
FL
05
—
371631700
—
FL
01
—
80689
BLUE CROSS OF FLORIDA
FL
Enumeration date
10/10/2006
Last updated
11/30/2007
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