Individual
SUSAN K LICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
172 MOUNT PLEASANT RD, NEWTOWN, CT 06470-1443
(203) 426-8442
(203) 426-6320
Mailing address
172 MOUNT PLEASANT RD, NEWTOWN, CT 06470-1443
(203) 426-8442
(203) 426-6320
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000032
—
Other
Enumeration date
03/07/2006
Last updated
01/23/2008
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