LAUREN LICHTY

WEST FORK, AZ
NPI1609488014
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
Enumeration Date2020-08-18
Last Update Date2020-08-18
Business Address
LAUREN LICHTY
363 MCKNIGHT AVE
WEST FORK, AZ 72774
Phone number: 479-839-3035
Mailing Address
LAUREN LICHTY
PO BOX 419
WEST FORK, AR 72774-0419
Phone number: