Paul Licata
NPI #1790772002 in Lewisberry, Pennsylvania
Provider Information
- NPI Number
- 1790772002
- Entity Type
- Individual
- Name
- Paul Licata
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Radiology - Vascular & Interventional Radiology
- Enumeration Date
- Oct 3, 2005
- Last Updated
- May 24, 2021
Practice Location
- Address
- 629D LOWTHER RD
- Address 2
- SUITE 3950
- City
- Lewisberry
- State
- Pennsylvania
- ZIP Code
- 17339-9527
- Phone
- (717) 932-5200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Vascular & Interventional Radiology — Vascular & Interventional Radiology |
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