Individual
MS. KRISTIN THERESA LICHNOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
3535 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3908
(614) 566-5000
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OH
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
05/31/2013
Last updated
11/15/2022
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