Individual
ROSS LICKLIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6000
Mailing address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2015003448
MO
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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