Individual
DR. JACOB LIECHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1247 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4673
(863) 688-5604
Mailing address
148 13TH ST SW, LARGO, FL 33770-3127
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME161943
FL
Other
Enumeration date
03/20/2019
Last updated
07/19/2023
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