Individual
DANIEL LICHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
41 SHENANDOAH DR, LAKEWOOD, NJ 08701-4979
(646) 705-3045
Mailing address
41 SHENANDOAH DR, LAKEWOOD, NJ 08701-4979
(646) 705-3045
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
344369
NY
Other
Enumeration date
11/29/2020
Last updated
11/29/2020
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