Jacqueline Lee Lickliter
D.O. | Pediatrics | Female
Jacqueline Lee Lickliter, D.O. is a Boardman, Ohio based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jacqueline Lee Lickliter is
6505 Market St Ste 2100, Boardman, Ohio - 44512-3457. She can be contacted on phone at
330-746-8040 and fax number 330-746-8025.
Jacqueline Lee Lickliter is a sole proprietor of her business.
NPI number (Unique professional ID) for Jacqueline Lee Lickliter is
1053671669 which was assigned by NPPES on 17 May, 2012 and it was last updated on 17 Mar, 2021.
Jacqueline Lee Lickliter license number is
34.012256 for Pediatrics (208000000X) in Ohio.
Jacqueline Lee Lickliter is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jacqueline Lee Lickliter basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Jacqueline Lee Lickliter |
|---|
| Credential : | D.O. |
|---|
| Gender : | Female |
|---|
Business Address:
Jacqueline Lee Lickliter address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 6505 Market St Ste 2100
Boardman, OH, 44512-3457
United States |
|---|
| Phone Number : | 330-746-8040 |
|---|
| Fax Number : | 330-746-8025 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1053671669 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 17 May, 2012 |
|---|
| Last Updated On : | 17 Mar, 2021 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacqueline Lee Lickliter are as mentioned. Primary taxonomy code for Jacqueline Lee Lickliter, D.O. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 34.012256 | OH |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | jlickliter16687@direct.chmca.org
| No affiliation | DIRECT
Direct
|
| 6505 MARKET ST STE 2100,
BOARDMAN, OH, 44512-3457
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1 Perkins Sq
Akron, OH, 44308-1063
United States |
|---|
| Phone Number : | 330-746-8040 |
|---|
| Fax Number : | 330-746-8025 |
|---|
Business Location:
Patients can refer following map for directions to
Jacqueline Lee Lickliter practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.