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Ann Laurel Licht, MD
Orthopedic Hand Surgery Physician in Lakeland, Florida
NPI 1063485449

Ann Laurel Licht is a Orthopedic Hand Surgery Physician based in Gulfport, FL and is specialized in Hand Surgery. Ann Laurel Licht practices in Lakeland, FL and has the professional credentials of MD. The NPI Number for Ann Laurel Licht is 1063485449 and holds a License No. ME83569 (Florida).

The current practice location address for Ann Laurel Licht is 1600 Lakeland Hills Blvd, Lakeland, FL and can be reached out via phone at 863-680-7214 and via fax at 866-264-8519. You can also correspond with Ann Laurel Licht through the mailing address at 5900 BAYVIEW CIR S, GULFPORT, FL - 33707-3930 (mailing address contact number: ).

Location: 1600 Lakeland Hills Blvd, Lakeland, FL, 33707-3930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063485449
Provider Name
Ann Laurel Licht
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1600 Lakeland Hills Blvd, Lakeland, FL, 33707-3930
Phone Number
863-680-7214
Fax Number
866-264-8519
Provider Enumeration Date
02/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1600 Lakeland Hills Blvd
City
Lakeland
State
Florida
Zip
33805-3019
Phone Number
863-680-7214
Fax Number
866-264-8519
person
Provider Business Mailing Address Details
Address
1600 Lakeland Hills Blvd
City
Lakeland
State
Florida
Zip
33805-3019
Phone Number
863-680-7214
Fax Number
866-264-8519
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Hand Surgery
Taxonomy
207XS0106X
License No.
ME83569 (Florida)
Definition
An orthopedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Surgery of the Hand
Taxonomy
2086S0105X
License No.
ME83569 (Florida)
Definition
A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
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