Individual
LAURA ANN LICHTENWALNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 N PLUMER AVE, TUCSON, AZ 85719-5906
(520) 225-3284
Mailing address
102 N PLUMER AVE, TUCSON, AZ 85719-5906
(520) 225-3284
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN166233
AZ
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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