Individual provider · Type 1 NPI
Stacy Leigh Lichtig, NP
Primary Care Nurse Practitioner · Colgate, WI
NPI number
1003630914
Active
Practice location
N95W25901 County Line Rd Ste F
Colgate, WI 53017-9225
Mailing address
W197N12556 Prairie Ridge Ct
Richfield, WI 53076-9443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 15927-33 (WI) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1003630914
Stacy Leigh Lichtig, NP's National Provider Identifier is 1003630914, issued on Nov 8, 2024. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Colgate, WI. The record was last updated on Nov 8, 2024.