Individual
ANDREW LICHLITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 NORTH ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6301
(570) 271-5976
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6301
(570) 271-5976
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD486849
PA
2085R0202X
Diagnostic Radiology Physician
Q8099
TX
2085R0204X
Vascular & Interventional Radiology Physician
61720
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363303401
—
TX
Enumeration date
04/07/2014
Last updated
07/02/2025
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