Individual
DR. MYRON B LICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1750 THOMPSON RD, COOS BAY, OR 97420-2100
(541) 269-0333
Mailing address
1750 THOMPSON RD, COOS BAY, OR 97420-2100
(541) 269-0333
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
DO158099
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151994
—
OR
Enumeration date
10/23/2006
Last updated
02/27/2014
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