Individual
DR. GREGORY THOMAS LICHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11795 EDUCATION ST STE 110, AUBURN, CA 95602
(530) 886-6820
(530) 886-6821
Mailing address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-1000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20A16553
CA
Other
Enumeration date
06/24/2012
Last updated
08/31/2018
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