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Individual

DAVID LICHTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
600 N WOLFE ST, PARK BUILDING - SUITE 304X, BALTIMORE, MD 21287-0005
(443) 287-3631
(410) 502-0923
Mailing address
# 64264, BALTIMORE, MD 21264-4264
(410) 558-5238

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110002440
VA
363A00000X
Physician Assistant
Primary
C0003514
MD

Other

Enumeration date
08/28/2006
Last updated
05/27/2011
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