DR. Gary D Lichten, MD

NPI #1174517932 in Fairlawn, Ohio

Provider Information

NPI Number: 1174517932
Entity Type: Individual
Name: DR. Gary D Lichten, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dermatology
Credential: MD
Enumeration Date: Sep 8, 2005
Last Updated: Jul 25, 2016

Practice Location

Address: 3624 W MARKET ST
City: Fairlawn
State: Ohio
ZIP Code: 44333-4510
Phone: (330) 665-0555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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