Individual
MR. DEE RAY LICHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
601 ACORN CT, SAINT JOHNS, FL 32259-5405
(904) 342-0313
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3294872
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166381711A
—
GA
05
—
302804600
—
FL
01
—
430046091
RAILROAD MEDICARE
FL
01
—
G2350
BLUECROSS/BLUESHIELD
FL
Enumeration date
11/05/2005
Last updated
03/04/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us