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Individual

DR. JASON C LICHTENBERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2940 SQUALICUM PKWY, #203, BELLINGHAM, WA 98225-1892
(802) 847-4535
Mailing address
2940 SQUALICUM PKWY, #203, BELLINGHAM, WA 98225-1892
(802) 318-1550

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
062547
GA

Other

Enumeration date
12/12/2006
Last updated
11/09/2016
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