Individual
JEFFREY HAMILTON LICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 HOLTON AVE, SUITE 100, YAKIMA, WA 98902-3254
(509) 248-6292
(509) 248-9134
Mailing address
315 HOLTON AVE, SUITE 100, YAKIMA, WA 98902-3254
(509) 248-6292
(509) 248-9134
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0021581
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1301506
—
WA
Enumeration date
12/08/2006
Last updated
07/08/2007
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