Search › Wisconsin › 207V00000X
Jay Lick, D.O
NPI 1609978808 · on the registry since 2006
Practice
- Address
- 2402 Winnebago St
Madison, WI 53704 - Phone
- (608) 242-6840
- Fax
- (608) 245-6117
- Organisation at this address
- University Of Wisconsin Medical Foundation Inc
University Of Wisconsin Hospitals And Clinics AuthorityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 64
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Also registered as
- 207Q00000X
207V00000X
207V00000X - Licence states on file
- WI, AZ, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-02-04
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 Wisconsin