NPI 1063803336
Anita Lickteig
Practice location
- Address
- 300 Chase Ave, Waterbury, CT 06704-2246
- Phone
- (203) 437-3674
- Fax
- (203) 721-8787
Registered specialties
Pharmacy Technician
Primary
Registry record
- NPI
- 1063803336
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Feb 2015
- Record last updated
- 9 Feb 2015
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.