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Jake Nathaniel Lichterman, DO
Hematology & Oncology Physician in Dallas, Texas
NPI 1588167308

Jake Nathaniel Lichterman is a Hematology & Oncology Physician based in Dallas, TX and is specialized in Hematology & Oncology. Jake Nathaniel Lichterman practices in Dallas, TX and has the professional credentials of DO. The NPI Number for Jake Nathaniel Lichterman is 1588167308 and holds a License No. (Texas).

The current practice location address for Jake Nathaniel Lichterman is 6202 Harry Hines Blvd, Dallas, TX and can be reached out via phone at 214-645-3999.

Location: 6202 Harry Hines Blvd, Dallas, TX, 75284-7208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588167308
Provider Name
Jake Nathaniel Lichterman
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
6202 Harry Hines Blvd, Dallas, TX, 75284-7208
Phone Number
214-645-3999
Fax Number
Provider Enumeration Date
03/18/2018
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
6202 Harry Hines Blvd
City
Dallas
State
Texas
Zip
75390-7201
Phone Number
214-645-3999
Fax Number
person
Provider Business Mailing Address Details
Address
6202 Harry Hines Blvd
City
Dallas
State
Texas
Zip
75390-7201
Phone Number
214-645-3999
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
S5686 (Texas)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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