BRYAN V LICH

FORT MYERS, FL
NPI1619398567
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy282N00000X General Acute Care Hospital
(Licence: GA  169)
Enumeration Date2013-12-19
Last Update Date2013-12-19
Business Address
Mr. BRYAN V LICH CCP
17080 SAFETY ST STE 109
FORT MYERS, FL 33908-7506
Phone number: 888-499-5672
Mailing Address
Mr. BRYAN V LICH CCP
17080 SAFETY ST STE 109
FORT MYERS, FL 33908-7506
Phone number: 888-499-5672
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