Individual
CHRISTA LOUISE LICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2950 ELMWOOD AVE, BUFFALO, NY 14217-1304
(716) 228-2726
Mailing address
4675 SUNSET DR, LOCKPORT, NY 14094-1231
(716) 439-4417
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
717238
NY
363LF0000X
Family Nurse Practitioner
Primary
351971
NY
Other
Enumeration date
06/01/2023
Last updated
07/24/2023
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