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Individual

ANDRES JOHN JACOB LICHTENBERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
400 W 41ST ST, #103, MIAMI BEACH, FL 33140-3516
(305) 695-0644
(305) 532-1612
Mailing address
PO BOX 402808, MIAMI BEACH, FL 33140-0808
(305) 695-0644
(305) 532-1612

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME95046
FL

Other

Enumeration date
07/12/2006
Last updated
05/10/2013
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