Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PETER DOUGLASS LICHTY, MD MOH
Active Sole ProprietorDR. PETER DOUGLASS LICHTY, MD MOH is a Preventive Medicine healthcare provider located in BERKELEY, California. NPI 1548480122 is currently active in the NPPES registry. Verify at CMS.
Preventive Medicine · BERKELEY, CA
Registration Details
- NPI Number
- 1548480122
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 26, 2007 (19.333291185276 yrs)
- Last Updated
- Jul 8, 2007
- License
-
G055368 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 CYCLOTRON RDMAILSTOP 26R0143BERKELEY, CA, 947208239Browse CA providers · Browse ZIP 94720
- Phone
- 5104866267
- Primary Specialty
-
Preventive Medicine
2083P0500X
Other Preventive Medicine Providers in BERKELEY, CA
| Name | Credential | NPI |
|---|---|---|
| DR. DIANE LIU | M.D., M.P.H. | 1952459240 |
| ROBERT WAGNER | — | 1558499079 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.