JONATHAN LICHKUS

LAWRENCE, MA
NPI1194138883
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MA  260198)
Enumeration Date2014-06-10
Last Update Date2014-06-10
Business Address
-- JONATHAN LICHKUS
34 HAVERHILL ST
LAWRENCE, MA 01841-2884
Phone number: 978-686-0900
Mailing Address
-- JONATHAN LICHKUS
34 HAVERHILL ST
LAWRENCE, MA 01841-2884
Phone number: 978-686-0900