Individual
DR. LARRY HOWARD LICKSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MICHAEL D COHEN MD PA, 8322 BELLONA AVENUE SUITE 300, TOWSON, MD 21204-2012
(410) 296-0414
(410) 296-0412
Mailing address
8322 BELLONA AVENUE SUITE 300, TOWSON, MD 21204-2012
(410) 296-0414
(410) 296-0412
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
D0064062
MD
Other
Enumeration date
08/14/2006
Last updated
09/30/2013
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