Individual
DR. PETER DOUGLASS LICHTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD MOH
Contact information
Practice address
924 BOLTON CIR, BENICIA, CA 94510-3620
(510) 502-1668
Mailing address
924 BOLTON CIR, BENICIA, CA 94510-3620
(510) 502-1668
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
G055368
CA
Other
Enumeration date
04/26/2007
Last updated
04/22/2026
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