| Jacqueline Lee Lickliter, DO | |
|
230 George St Ste 2, Beckley, WV 25801-2620 | |
| (304) 255-2878 | |
| Not Available |
| Full Name | Jacqueline Lee Lickliter |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 230 George St Ste 2, Beckley, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053671669 | NPI | - | NPPES |
| 1053671669 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 34.012256 (Ohio) | Secondary |
| 208000000X | Pediatrics | 2950 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Lee Lickliter, DO 230 George St Ste 2, Beckley, WV 25801-2620 Ph: (304) 255-2878 | Jacqueline Lee Lickliter, DO 230 George St Ste 2, Beckley, WV 25801-2620 Ph: (304) 255-2878 |
Carlos Estanislao Lucero, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 403 Carriage Drive, Beckley, WV 25801 Phone: 304-255-7456 Fax: 304-255-5899 | |
Dr. Petaiah Mohan, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 194 Carriage Dr, Beckley, WV 25801 Phone: 304-255-6051 Fax: 304-255-6051 | |
Ramon Lacanilao, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 30 Mallard Court, Beckley, WV 25801 Phone: 304-255-0800 Fax: 304-255-1040 | |
Kim D Bennett, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 252 Rural Acres Dr, Beckley, WV 25801 Phone: 304-252-8551 Fax: 304-252-1790 | |
Dr. Michele Dawn Staton, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2401 S Kanawha St, Suite 110a, Beckley, WV 25801 Phone: 304-929-4646 Fax: 304-929-4649 | |
Dr. Malik Hamdan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1710 Harper Rd, Beckley, WV 25801 Phone: 304-256-4100 Fax: 304-254-3016 |