SearchVirginia2255A2300X

Zander Lichosik

NPI 1891522108 · on the registry since 2024 · sole proprietor

Practice

Address
25 Beamer Way
Blacksburg, VA 24061
Phone
(414) 731-5342
Clinicians at this address
3

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Also registered as
2255A2300X
390200000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-16

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 Virginia