Individual
DR. HOWARD LICHTENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 HOYT AVE, EVERETT, WA 98201-4918
(425) 339-5411
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3903
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G41828
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G418280
BLUE CROSS/BLUE SHIELD
CA
05
—
00G418280
—
CA
05
—
1093503
—
WA
01
—
110116777
RAILROAD MEDICARE
CA
01
—
77040368493612B006
CHAMPUS
CA
Enumeration date
11/08/2005
Last updated
12/13/2012
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