Douglas J Lichti, MD is a
Surgery physician based in Heber City, Utah. Douglas J Lichti is licensed to practice in Utah (license number 1835651205) and his current practice location is 380 E 1500 S, Suite 202, Heber City, Utah. He can be reached at his office (for appointments etc.) via phone at
(435) 657-2711.
NPI number for Douglas J Lichti is 1417995325 and his current mailing address is 380 E 1500 S, Suite 202, Heber City, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417995325.
Physician's Profile
Full Name | Douglas J Lichti |
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Gender | Male |
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Speciality | Surgery |
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Location | 380 E 1500 S, Heber City, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417995325
- Provider Enumeration Date: 06/03/2006
- Last Update Date: 09/16/2013
Medical Identifiers
Medical identifiers for Douglas J Lichti such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417995325 | NPI | - | NPPES |
870516264009 | Medicaid | UT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 1835651205 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Douglas J Lichti is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Douglas J Lichti, MD 380 E 1500 S, Suite 202, Heber City, UT 84032-3940 Ph: (435) 657-2711 | Douglas J Lichti, MD 380 E 1500 S, Suite 202, Heber City, UT 84032-3940 Ph: (435) 657-2711 |
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