Individual
CHERYL STOUDT LICHNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6900 HAMILTON BOULEVARD, TREXLERTOWN, PA 18087
(610) 402-0170
Mailing address
1650 VALLEY CENTER PKWY, SUITE 100, BETHLEHEM, PA 18017-2344
(484) 884-4436
(484) 884-4444
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP000994
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197466
HIGHMARK BLUE SHIELD
PA
01
—
50029571
CAPITAL
PA
Enumeration date
05/26/2006
Last updated
07/08/2007
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