MEDICARE: LAWRENCE J LITSCHER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	35053420	OH
2	208800000X	Urology Physician	OH053420	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083722409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAWRENCE J LITSCHER MD

Provider Business Mailing Address
First Line	:	6680 POE AVE
Second Line	:	SUITE 200
City	:	DAYTON
State	:	OH
Zip	:	45414-2854
Country	:	US
Telephone Number	:	937-280-8400
Fax Number	:	937-280-8373

Provider Business Practice Location Address
First Line	:	2350 MIAMI VALLEY DR
Second Line	:	SUITE 500
City	:	CENTERVILLE
State	:	OH
Zip	:	45459-4778
Country	:	US
Telephone Number	:	937-425-0003
Fax Number	:	937-425-0004

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2006
Last Update Date	:	12/07/2017

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Directions to “ LAWRENCE J LITSCHER MD” Practice Location

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