Individual
CHERYL A LIECHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4 GLEN COVE DR, STE 202, ROCKPORT, ME 04856
(207) 593-5800
(207) 593-5322
Mailing address
4 GLEN COVE DR, STE 202, ROCKPORT, ME 04856
(207) 593-5800
(207) 593-5322
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
016825
ME
207RI0200X
Infectious Disease Physician
016825
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431875499
—
ME
Enumeration date
03/15/2006
Last updated
12/28/2011
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