Lee Lichtenberg, Md.,Sc in Geneva - Specialist
Lee Lichtenberg, Md.,Sc - NPI 1962569624
Lee Lichtenberg, Md.,Sc is a Specialist in Geneva, Illinois. Lee Lichtenberg, Md.,Sc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lee Lichtenberg, Md.,Sc is 1962569624. The last update date is 2013-08-08.
Lee Lichtenberg, Md.,Sc's current location address is 302 Randall Rd, Geneva, Illinois. You can contact this provider via phone number 6302322391 and fax number 6302322472. The mailing address for Lee Lichtenberg, Md.,Sc is 302 Randall Rd, Geneva, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lee Lichtenberg, Md.,Sc |
|---|---|
| Address | 302 Randall Rd, Geneva, Illinois |
| Phone Number | 6302322391 |
| Fax Number | 6302322472 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MD |
|---|---|
| Authorized Official Name | Lichtenberg Lee |
| Credentials | M.D. |
| Telephone Number | 6302322391 |
NPI Number Detail
| NPI Number | 1962569624 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2013-08-08 |
Provider Mailing Address Detail
| Address | 302 Randall Rd |
|---|---|
| City | Geneva |
| State | Illinois (IL) |
| Post Code | 601344209 |
| Phone Number | 6302322391 |
| Fax Number | 6302322472 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 36054148 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36054148 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Lee Lichtenberg, Md.,Sc by the Centers for Medicare & Medicaid Services (CMS)?
The Lee Lichtenberg, Md.,Sc has been assigned the NPI (National Provider Identifier) 1962569624. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Lee Lichtenberg, Md.,Sc?
The Lee Lichtenberg, Md.,Sc is situated at 302 Randall Rd, in the city of Geneva, state of IL, with the zip code 601344209.
What is Lee Lichtenberg, Md.,Sc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lee Lichtenberg, Md.,Sc is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date was the 1962569624 assigned to Lee Lichtenberg, Md.,Sc?
The Lee Lichtenberg, Md.,Sc was issued its 1962569624 on 2007-01-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Lee Lichtenberg, Md.,Sc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lee Lichtenberg, Md.,Sc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-08-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC