Individual
DEREK LICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
725 CONCORD AVE STE 4200, CAMBRIDGE, MA 02138-4680
(857) 666-7337
(617) 864-0561
Mailing address
330 MT AUBURN ST, PARSONS 2, CAMBRIDGE, MA 02138-5597
(857) 666-7337
(617) 864-0561
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN274591
MA
363LP0200X
Pediatric Nurse Practitioner
RN274591
MA
Other
Enumeration date
01/13/2009
Last updated
06/12/2025
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