person
Mr. Tyler Matthew Rodriguez Lichtenberg, NP
Family Nurse Practitioner in Pocomoke City, Maryland
NPI 1780357228

Tyler Matthew Rodriguez Lichtenberg is a Family Nurse Practitioner based in Salisbury, MD and is specialized in Family. Tyler Matthew Rodriguez Lichtenberg practices in Pocomoke City, MD and has the professional credentials of NP. The NPI Number for Tyler Matthew Rodriguez Lichtenberg is 1780357228 and holds a License No. AC005187 (Maryland).

The current practice location address for Tyler Matthew Rodriguez Lichtenberg is 305 10Th St Ste 104, Pocomoke City, MD and can be reached out via phone at 410-957-0273. You can also correspond with Tyler Matthew Rodriguez Lichtenberg through the mailing address at PO BOX 1978, SALISBURY, MD - 21802-1978 (mailing address contact number: 410-749-1015).

Location: 305 10Th St Ste 104, Pocomoke City, MD, 21802-1978
person
Provider Profile Details
NPI Number
1780357228
Provider Name
Tyler Matthew Rodriguez Lichtenberg
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
305 10Th St Ste 104, Pocomoke City, MD, 21802-1978
Phone Number
410-957-0273
Fax Number
Provider Enumeration Date
07/30/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
119591300 05 MD
institution
Provider Business Practice Location Address Details
Address
305 10Th St Ste 104
City
State
Zip
21851-1607
Phone Number
410-957-0273
Fax Number
person
Provider Business Mailing Address Details
Address
305 10Th St Ste 104
City
State
Zip
21851-1607
Phone Number
410-957-0273
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AC005187 (Maryland)
Definition
Definition to come...
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