Individual
DR. TIMOTHY J LICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1838 FLORENCE PIKE STE B, BURLINGTON, KY 41005-1838
(859) 334-0217
(859) 534-5888
Mailing address
237 WILLIAM HOWARD TAFT RD, CINCINNATI, OH 45219-2610
(513) 263-8527
(513) 263-8622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-057782
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0743833
—
OH
05
—
64117955
—
KY
Enumeration date
10/17/2005
Last updated
07/06/2021
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