Individual provider · Type 1 NPI

Mary Beth Lichty, PAC

Medical Physician Assistant · Morgantown, WV

NPI number 1609948587 Active

Practice location

341 Spruce St
Morgantown, WV 26505-5504

Call (304) 292-8234 Map

Fax (304) 284-0133

Mailing address

3 Weaver Town Homes
Morgantown, WV 26501-2251

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA9103568 (FL)
Medical Physician Assistant Primary 363AM0700X01384 (WV)

Medical Physician Assistant: Definition to come...

14 other providers at this address

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About NPI 1609948587

Mary Beth Lichty, PAC's National Provider Identifier is 1609948587, issued on Nov 15, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Morgantown, WV. The record was last updated on Dec 10, 2008.