Individual provider · Type 1 NPI

Ann Laurel Licht, MD

Orthopaedic Hand Surgery Physician · Lakeland, FL

NPI number 1063485449 Active

Practice location

1600 Lakeland Hills Blvd
Lakeland, FL 33805-3019

Fax (866) 264-8519

Mailing address

5900 Bayview Cir S
Gulfport, FL 33707-3930

Other practice locations

  • 2300 E County Road 540A, Lakeland, FL 33813-3825 · (863) 680-7214

Specialties and licenses

TaxonomyCodeLicense
Surgery of the Hand (Surgery) Physician 2086S0105XME83569 (FL)
Orthopaedic Hand Surgery Physician Primary 207XS0106XME83569 (FL)

Orthopaedic Hand Surgery Physician: An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

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About NPI 1063485449

Ann Laurel Licht, MD's National Provider Identifier is 1063485449, issued on Feb 8, 2006. The primary taxonomy on file is Orthopaedic Hand Surgery Physician (207XS0106X), and the practice location is in Lakeland, FL. The record was last updated on Dec 22, 2023.