DAVID J LICINI

BLOOMINGTON, IN
NPI1801086343
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: IN  01071339A)
Additional Taxonomies207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery
(Licence: IN  01071339A)
Enumeration Date2007-07-31
Last Update Date2021-10-27
Business Address
DAVID J LICINI MD
1302 S ROGERS ST
BLOOMINGTON, IN 47403-4752
Phone number: 812-333-2663
Mailing Address
DAVID J LICINI MD
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number: