Individual
HAROLD MARK LICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 PATTERSON ST, SUITE 500, NASHVILLE, TN 37203-1562
(615) 327-7400
(615) 327-4818
Mailing address
2400 PATTERSON ST, SUITE 500, NASHVILLE, TN 37203-1562
(615) 327-7400
(615) 327-4818
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M8231
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806166600
—
ID
Enumeration date
09/06/2006
Last updated
01/26/2022
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