Jack Howard Lichy, M.D., PH.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

MD034930E Issued in PA

Practice address

Veterans Affairs Medical Ctr
50 Irving St NW
Washington, DC 20422-0001

Phone

(202) 745-8285

Fax

(202) 745-8284

NPI assigned

Sep 29, 2006

Last updated

Sep 18, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1407948102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11603 MONTICELLO AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209021709",
            "telephone_number": "202-745-8285",
            "fax_number": "202-745-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VETERANS AFFAIRS MEDICAL CTR",
            "address_2": "50 IRVING ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "204220001",
            "telephone_number": "202-745-8285",
            "fax_number": "202-745-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHY",
        "first_name": "JACK",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0007X",
            "taxonomy_group": "",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": "PA",
            "license": "MD034930E",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD034930E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph John Libricz Jr., P.A.-C.
• John Lichtenberger, M.D.
• Alan Jay Lichter, D.C.
• Anna Lichter
• Mildred Itembe Lichungu
• Anna Lisa Licud, ACNP
• Fatou Kine Liddell
• Angela Maloney Liddie, LICSW,LCSW-C
• Peter Liebenthal
• Pamela Lieber, LICSW

• Anatomic Pathology & Clinical Pathology Physician in Washington, DC
• Providers in Washington, DC by specialty
• Anatomic Pathology & Clinical Pathology Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.