DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JAY CHARLES LICK, D.O.

Active

DR. JAY CHARLES LICK, D.O. is a Obstetrics & Gynecology healthcare provider located in MADISON, Wisconsin. NPI 1609978808 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · MADISON, WI

Registration Details

NPI Number
1609978808
Provider Type
Individual
Gender
Male
NPI Issued
Sep 1, 2006 (19.946370823484 yrs)
Last Updated
Feb 4, 2021
Licenses
53723 (WI)
005103 (AZ)
2005041214 (MO)
53723 (WI)

Practice Information

Address
2402 WINNEBAGO ST
MADISON, WI, 537045341
Browse WI providers · Browse ZIP 53704
Phone
6082426840
Fax
6082456117
Primary Specialty
Obstetrics & Gynecology
207V00000X
Additional Specialty
Obstetrics & Gynecology
Additional Specialty
Obstetrics & Gynecology
Additional Specialty
Obstetrics & Gynecology

Other Obstetrics & Gynecology Providers in MADISON, WI

Name Credential NPI
BRENDA L CASEY MD 1669474508
REBECCA A THOUSAND MD 1053309724
DEBORAH B EHRENTHAL MD 1730166273
ANDREW R WEISS MD 1386610707
BARBARA J OCONNELL MD 1174599237
PAUL A MCLEOD MD 1285600361
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.