NPI 1174517932

Gary D Lichten, MD

Practitioner Dermatology Physician Fairlawn, OH

Practice location

Address: 3624 W Market St, Fairlawn, OH 44333-4510
Phone: (330) 665-0555
Fax: (330) 665-0556

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 35038945 (OH)

Other Dermatology providers in Ohio →

Registry record

NPI: 1174517932
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Sep 2005
Record last updated: 25 Jul 2016

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.