-- JORDAN JOSEPH LICHTY -- M.D.
Individual Provider (NPI-1)
Active
Anesthesiology
Provider Information
- NPI Number
1619286473- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 1800 E PARK AVE, STATE COLLEGE, PA, 168036709
- Phone
- (814) 231-7000
Specialties & Taxonomies
Internal Medicine
License: PA #MT197760
Anesthesiology
Primary License: PA #MD452089