NPI 1053671669
Jacqueline Lee Lickliter, DO
Practice location
- Address
- 230 George St STE 2, Beckley, WV 25801-2620
- Phone
- (304) 255-2878
Registered specialties (2)
Pediatrics Physician
Primary
Pediatrics Physician
Registry record
- NPI
- 1053671669
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 May 2012
- Record last updated
- 30 Mar 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.