Basic Information
| Provider Information | |||||||||
| NPI: | 1003146952 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LICHTER | ||||||||
| FirstName: | ROWLIN | ||||||||
| MiddleName: | LOBERT | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3500 SOUTHAMPTON DRIVE | ||||||||
| Address2: | |||||||||
| City: | RENO | ||||||||
| State: | NV | ||||||||
| PostalCode: | 895093787 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7753371848 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 14285 DOMINGO CT | ||||||||
| Address2: | |||||||||
| City: | RENO | ||||||||
| State: | NV | ||||||||
| PostalCode: | 895116617 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7753371848 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/28/2009 | ||||||||
| LastUpdateDate: | 02/06/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 669 | HI | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.