person
Nathan Daniel Lickteig, DO
Student in an Organized Health Care Education/Training Program in Albuquerque, New Mexico
NPI 1649912452

Nathan Daniel Lickteig is a Student in an Organized Health Care Education/Training Program based in Albuquerque, NM. Nathan Daniel Lickteig practices in Albuquerque, NM and has the professional credentials of DO. The NPI Number for Nathan Daniel Lickteig is 1649912452 and holds a License No. (New Mexico).

The current practice location address for Nathan Daniel Lickteig is Msc08 4640 1 University Of New Mexico, Albuquerque, NM and can be reached out via phone at 505-272-4814 and via fax at 505-272-0240.

Location: Msc08 4640 1 University Of New Mexico, Albuquerque, NM, 87131-0001
person
Provider Profile Details
NPI Number
1649912452
Provider Name
Nathan Daniel Lickteig
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
Msc08 4640 1 University Of New Mexico, Albuquerque, NM, 87131-0001
Phone Number
505-272-4814
Fax Number
505-272-0240
Provider Enumeration Date
04/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Msc08 4640 1 University Of New Mexico
City
State
Zip
87131-0001
Phone Number
505-272-4814
Fax Number
505-272-0240
person
Provider Business Mailing Address Details
Address
Msc08 4640 1 University Of New Mexico
City
State
Zip
87131-0001
Phone Number
505-272-4814
Fax Number
505-272-0240
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(New Mexico)
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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