JORDAN LICATA, DO
Otolaryngology
Active
Individual
NPI: 1952795106
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Otolaryngology | 207Y00000X | Yes | 5294 (TN) |
Frequently Asked Questions
NPI 1952795106 is the National Provider Identifier for JORDAN LICATA, DO, a Otolaryngology provider located in Tullahoma, TN. This NPI was enumerated on March 26, 2015.
JORDAN LICATA, DO practices at 1821 N WASHINGTON ST, Tullahoma, TN 37388.
Quick Facts
- NPI
- 1952795106
- Type
- Individual
- Enumerated
- Mar 26, 2015
- Last Updated
- Dec 12, 2024
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