Ann Laurel Licht MD

NPI 1063485449 - Surgery - 2086S0105X

NPI Details
NPI 1063485449
Gender Female
Enumeration Date 02/08/2006
Last Updated 06/08/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1600 LAKELAND HILLS BLVD
LAKELAND FL, 33805-3019, US
Phone (863) 680-7000
Fax (866) 264-8519
Business Location
PO BOX 95004
LAKELAND FL, 33804-5004, US
Phone (863) 680-7206
Fax (863) 680-7420
Toxanomy
Taxonomy Code 2086S0105X
License State Florida
License Number ME83569
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According to our database, Ann Laurel Licht MD NPI is 1063485449, taxonomy code is 2086S0105X and license number is ME83569, license state is located at Florida. Ann Laurel Licht MD physically located at 1600 Lakeland Hills Blvd, Lakeland FL, 33805-3019. NPI Number Ann Laurel Licht MD has the Individual type.

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1063485449 NPI number is provided on an as is basis without warranty of any kind. 1063485449 is maintained by the National Plan & Provider Enumeration System. The contents of Ann Laurel Licht MD are for informational purposes only.