Organization
GARY D LICHTEN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY D LICHTEN MD (PRESIDENT)
(330) 253-7164
Entity
Organization
Contact information
Practice address
157 W CEDAR ST, STE. 201, AKRON, OH 44307-2564
(330) 253-7164
(330) 434-3376
Mailing address
157 W CEDAR ST, STE. 201, AKRON, OH 44307-2564
(330) 253-7164
(330) 434-3376
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35038945
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0368963
—
OH
Enumeration date
05/11/2007
Last updated
05/05/2010
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