Edwin Alphonse Lichwa in West Sacramento - Family Medicine
Edwin Alphonse Lichwa - NPI 1104856012
Edwin Alphonse Lichwa is a Family Medicine in West Sacramento, California. Edwin Alphonse Lichwa practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Edwin Alphonse Lichwa is 1104856012. The last update date is 2021-12-16.
Edwin Alphonse Lichwa's current location address is 500 Jefferson Blvd Ste B180, West Sacramento, California. You can contact this provider via phone number 9163756400. The mailing address for Edwin Alphonse Lichwa is 500 Jefferson Blvd Ste B180, West Sacramento, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Edwin Alphonse Lichwa |
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Address | 500 Jefferson Blvd Ste B180, West Sacramento, California |
Phone Number | 9163756400 |
Fax Number | |
Sole Proprietor | N |
Credentials | D.O. |
NPI Number Detail
NPI Number | 1104856012 |
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Provider Enumeration Date | 2006-07-04 |
Last Updated Date | 2021-12-16 |
Provider Mailing Address Detail
Address | 500 Jefferson Blvd Ste B180 |
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City | West Sacramento |
State | California (CA) |
Post Code | 9560523940 |
Phone Number | 9163756400 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | A6985 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identification code assigned to Edwin Alphonse Lichwa by the Centers for Medicare & Medicaid Services?
The Edwin Alphonse Lichwa has been issued the NPI (National Provider Identifier) 1104856012, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Edwin Alphonse Lichwa located?
The Edwin Alphonse Lichwa is located at 500 Jefferson Blvd Ste B180, West Sacramento, CA 9560523940.
What is Edwin Alphonse Lichwa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Edwin Alphonse Lichwa is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Edwin Alphonse Lichwa receive its 1104856012 assignment from the Centers for Medicare & Medicaid Services?
The Edwin Alphonse Lichwa was assigned its 1104856012 by the Centers for Medicare & Medicaid Services on 2006-07-04.
As of what date was the information pertaining to Edwin Alphonse Lichwa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Edwin Alphonse Lichwa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-12-16.