Jordan Joseph Lichty, M.D.

NPI #1619286473 in State College, Pennsylvania

Provider Information

NPI Number: 1619286473
Entity Type: Individual
Name: Jordan Joseph Lichty, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: M.D.
Enumeration Date: Sep 28, 2010
Last Updated: Mar 8, 2015

Practice Location

Address: 1800 E PARK AVE
City: State College
State: Pennsylvania
ZIP Code: 16803-6709
Phone: (814) 231-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Anesthesiology	207L00000X	Primary

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