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MR. JEFFERY THOMAS LICHTENHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AUD

Contact information

Practice address
13330 USF LAUREL DR, TAMPA, FL 33612-6601
(813) 821-8038
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
2005037433
MO
231H00000X
Audiologist
Primary
AY2571
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116525200
FL
01
BLF5R
BCBS
FL
Enumeration date
09/25/2006
Last updated
02/01/2023
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