Ann Laurel Licht
Surgery of the Hand
1600 Lakeland Hills Blvd
Lakeland
, Florida 33805-3019
Ann Laurel Licht
Surgery of the Hand
1600 Lakeland Hills Blvd
Lakeland
, Florida 33805-3019
(866) 264-8519
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About
Features
Specialties
- Surgery of the Hand
Languages spoken
- English
Location
First Address
- Ann Laurel Licht
- 1600 Lakeland Hills Blvd
- Lakeland, FL
- Zip : 33805-3019
- Fax : (866) 264-8519
- Phone : (863) 680-7000
Second Address
- Ann Laurel Licht
- 1600 Lakeland Hills Blvd
- Lakeland, FL
- Zip : 33805-3019
- Fax : (866) 264-8519
- Phone : (863) 680-7214
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0105X | Surgery of the Hand | ME83569 | FL |
National Provider Identifier
| NPI | 1063485449 |
|---|---|
| Provider Name | Ann Laurel Licht |
| First Address | Lakeland, FL 33805-3019 |
| Second Address | Lakeland, FL 33805-3019 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/02/2006 |
| Last Update Date | 22/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H50260 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.