IndividualActive
Jack Lichy, M.D., PH.D.
NPI 1407948102 · Anatomic Pathology & Clinical Pathology Physician · Washington, DC
Provider details
- NPI number
- 1407948102
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD034930E (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
Veterans Affairs Medical Ctr
50 Irving St Nw
Washington, DC 20422-0001
Phone: (202) 745-8285
Fax: (202) 745-8284
Approximate (ZIP-level) locationGet directions
Mailing address
11603 Monticello Ave
Silver Spring, MD 20902-1709
Registry dates
- Enumerated
- 2006-09-29
- Last updated
- 2015-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.