Individual
DR. DANIEL MICAH LICHTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15004 INNOVATION DRIVE, SAN DIEGO, CA 92128
(858) 605-7969
(858) 605-7172
Mailing address
15004 INNOVATION DRIVE, SAN DIEGO, CA 92128
(858) 605-7969
(858) 605-7172
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A128188
CA
Other
Enumeration date
06/15/2012
Last updated
03/15/2017
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