Provider Demographics
NPI:1245480151
Name:LICHTMAN, KARA (MD)
Entity type:Individual
Prefix:DR
First Name:KARA
Middle Name:
Last Name:LICHTMAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:111 GROSSMAN DR
Mailing Address - Street 2:BEHAVIORAL HEALTH
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-4997
Mailing Address - Country:US
Mailing Address - Phone:781-849-2275
Mailing Address - Fax:
Practice Address - Street 1:150 GROSSMAN DR
Practice Address - Street 2:BEHAVIORAL HEALTH
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-4952
Practice Address - Country:US
Practice Address - Phone:781-849-2275
Practice Address - Fax:781-849-2299
Is Sole Proprietor?:No
Enumeration Date:2008-09-27
Last Update Date:2012-11-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2326582084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA002311701Medicare PIN