Katherine R Lichtenberg in Bridgeton - Family Medicine
Katherine R Lichtenberg - NPI 1487627568
Katherine R Lichtenberg is a Family Medicine in Bridgeton, Missouri. Katherine R Lichtenberg practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Katherine R Lichtenberg is 1487627568. The last update date is 2008-03-14.
Katherine R Lichtenberg's current location address is 12255 De Paul Dr, Bridgeton, Missouri. You can contact this provider via phone number 3142911074 and fax number 3142910802. The mailing address for Katherine R Lichtenberg is 12255 De Paul Dr, Bridgeton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katherine R Lichtenberg |
|---|---|
| Address | 12255 De Paul Dr, Bridgeton, Missouri |
| Phone Number | 3142911074 |
| Fax Number | 3142910802 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1487627568 |
|---|---|
| Provider Enumeration Date | 2006-02-09 |
| Last Updated Date | 2008-03-14 |
Provider Mailing Address Detail
| Address | 12255 De Paul Dr |
|---|---|
| City | Bridgeton |
| State | Missouri (MO) |
| Post Code | 630442510 |
| Phone Number | 3142911074 |
| Fax Number | 3142910802 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 113041 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00215429 | MO | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identification code assigned to Katherine R Lichtenberg by the Centers for Medicare & Medicaid Services?
The Katherine R Lichtenberg has been issued the NPI (National Provider Identifier) 1487627568. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Katherine R Lichtenberg's physical address?
The Katherine R Lichtenberg is physically located at 12255 De Paul Dr, in the city of Bridgeton, MO, with the postal code 630442510.
What is Katherine R Lichtenberg's area of expertise and its corresponding taxonomy classification?
The Katherine R Lichtenberg's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
When was the Katherine R Lichtenberg's 1487627568 issued?
The Katherine R Lichtenberg's 1487627568 was issued on 2006-02-09.
When was the information regarding Katherine R Lichtenberg most recently updated?
The details pertaining to the Katherine R Lichtenberg, including its address, specialty, and other relevant information, were last refreshed on 2008-03-14.