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1609470756
DANIEL LICHTER
LAKEWOOD, NJ
NPI
1609470756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 344369)
Enumeration Date
2020-11-29
Last Update Date
2020-11-29
Business Address
DANIEL LICHTER
41 SHENANDOAH DR
LAKEWOOD, NJ 08701-4979
Phone number: 646-705-3045
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Mailing Address
DANIEL LICHTER
41 SHENANDOAH DR
LAKEWOOD, NJ 08701-4979
Phone number: 646-705-3045
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