| NPI | 1225144256 |
|---|---|
| Former Name | RENATA L LICHTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KS KS60689) |
| Additional Taxonomies | 122300000X Dentist (Licence: CO 9879) |
| 1223G0001X Dentist, General Practice (Licence: OH 30-022383) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2022-11-23 |