Provider Demographics
NPI:1083722409
Name:LITSCHER, LAWRENCE J (MD)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:J
Last Name:LITSCHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6680 POE AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45414-2854
Mailing Address - Country:US
Mailing Address - Phone:937-280-8400
Mailing Address - Fax:937-280-8373
Practice Address - Street 1:2350 MIAMI VALLEY DR
Practice Address - Street 2:SUITE 500
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-4778
Practice Address - Country:US
Practice Address - Phone:937-425-0003
Practice Address - Fax:937-425-0004
Is Sole Proprietor?:No
Enumeration Date:2006-08-27
Last Update Date:2017-12-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35053420208800000X
OHOH053420208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0623347Medicaid
OHA82474Medicare UPIN
OH0586165Medicare PIN
OH0586162Medicare PIN