LAUREN LICHTY (NPI# 1609488014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609488014 |
| Entity Type | Individual |
| Full Name | LAUREN LICHTY |
| Practice Address |
363 Mcknight Ave West Fork AZ 72774 |
| Mailing Address |
Po Box 419 West Fork AR 72774-0419 |
| Practice Telephone | 4798393035 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
363 MCKNIGHT AVE |
| City | WEST FORK |
| State | AZ |
| Zip Code | 72774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164682209 | Shannon Medina | Speech-Language Pathologist | 363 Mcknight Ave, West Fork, AR 72774-0000 | 2008-06-12 |
| 1750992848 | Courtney Green | Speech-Language Pathologist | 363 Mcknight Ave, West Fork, AR 72774 | 2020-08-12 |
| 1790396257 | Rachel Holland | Speech-Language Pathologist | 363 Mcknight Ave, West Fork, AR 72774 | 2020-08-10 |
| 1639721426 | Alex Clark | Speech-Language Pathologist | 363 Mcknight Ave, West Fork, AR 72774-7277 | 2019-07-11 |
| 1144708041 | Kayla J Stinnett | Speech-Language Pathologist | 363 Mcknight Ave, West Fork, AR 72774 | 2018-08-02 |
| 1699261370 | Mary Curran | Occupational Therapy Assistant | 363 Mcknight Ave, West Fork, AR 72774 | 2018-07-06 |
| 1528215191 | Donna Sorters | Speech-Language Pathologist | 363 Mcknight Ave, West Fork, AR 72774-0000 | 2008-08-26 |
| 1881854909 | Mary Thompson | Speech-Language Pathologist | 363 Mcknight Ave, West Fork, AR 72774-0419 | 2008-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700377520 | Access Medical Clinic Arkansas LLC | Family Medicine | 451 Phillips St, West Fork, AR 72774 | 2018-05-29 |
| 1063750495 | Harps Food Stores, Inc | Pharmacy | 266 Three Dog Lane, West Fork, AR 72774 | 2013-01-18 |
| 1548405004 | Growing God's Kingdom, Inc. | Early Intervention Provider Agency | 599 N. Centennial, West Fork, AR 72774 | 2008-12-11 |
| 1730597733 | Kelsey Alyssa Boutilier | Speech-Language Pathologist | 363 Mcknight Ave., West Fork, AR 72774 | 2014-07-23 |
| 1386798999 | Superintendent of Elkins School District 10 | Local Education Agency (LEA) | 363 Mcknight, West Fork, AR 72774 | 2007-01-22 |
| 1023272374 | Maria Ann Ball | Occupational Therapist | 363 Mcknight Ave., West Fork, AR 72774-0000 | 2008-07-16 |
| 1972891034 | Alisa Beachy | Speech-Language Pathologist | 363 Mcknight Ave., West Fork, AR 72774-0000 | 2011-07-11 |
| 1033369913 | Annette Goll | Speech-Language Pathologist | 363 Mcknight Ave., West Fork, AR 72774-0000 | 2008-09-26 |
| 1922554336 | Alexandra Fry Bair | Speech-Language Pathologist | 363 Mcknight Avenue, West Fork, AR 72774-0419 | 2016-08-27 |
| 1164576781 | Superintendent of Farmington School | Local Education Agency (LEA) | 363 Mcknight, West Fork, AR 72774-0419 | 2007-01-22 |
| Find all providers in zip 72774 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821640657 | Eneida Oswalt | Physical Therapist | 1633 E Lakeside Dr Unit 133, Gilbert, AZ 85234-4971 | 2019-07-11 |
| 1124506688 | Az Therapy Spot, LLC | Physical Therapist | 3731 S Barberry Pl, Chandler, AZ 85248-4305 | 2018-08-06 |
| 1770083180 | Mariah Ashley Devries | Physical Therapist | 14557 W Indian School Rd Ste 500b, Goodyear, AZ 85395-9218 | 2018-02-13 |
| 1457805954 | Westergard Physical Therapy, Pllc | Physical Therapist | 1349 S Pheasant Dr, Gilbert, AZ 85296-9699 | 2016-08-12 |
| 1649656802 | Stephanie Michelle O'malley | Physical Therapist | 1007 N 7th St, Phoenix, AZ 85006-2728 | 2015-08-10 |
| 1215285150 | Bonnie Lynn Marlow | Physical Therapist | 8225 E Indianola Ave, Scottsdale, AZ 85251-4837 | 2012-08-27 |
| 1033478573 | Janelle Wong | Physical Therapist | 5314 N. 7th St., Phoenix, AZ 85014 | 2012-05-03 |
| 1013226182 | Joshua Bitton | Physical Therapist | 352 E Camelback Rd Ste 102, Phoenix, AZ 85012-1646 | 2010-10-06 |
| 1407164155 | Audra Pratt | Physical Therapist | 3214 W Louise Dr, Phoenix, AZ 85027-1627 | 2010-09-15 |
| 1558675918 | Sunny Days Pediatric Therapy | Physical Therapist | 870 E Lodgepole Ct, Gilbert, AZ 85298-7311 | 2010-07-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.