Lichtwardt, Megan Elissa

Lichtwardt, Megan Elissa is an sole proprietor health care provider with primary practice located at 5122 Olympic Drive Suite B102 , Gig Harbor WA 98335. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Lichtwardt, Megan Elissa can be contacted via phone (253) 851-1190.

Contact Information

Primary practice address
5122 Olympic Drive Suite B102 Gig Harbor WA 98335
Fax: (253) 851-2183
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DE60819089 Washington
Dental Providers / General Practice 1223G0001X DS037479 Pennsylvania

Profile Details

NPI number 1205087996
LBN Legal business name Lichtwardt, Megan Elissa
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2008
Last updated Mar 9th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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