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William Lickiss
NPI 1154805471 · on the registry since 2018
Practice
- Address
- 13947 S Newburg Dr
Herriman, UT 84096 - Phone
- (801) 506-6695
- Clinicians at this address
- 127
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 172V00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah