Individual
PHILIP LICHTENSTEIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 PIKE ST, COVINGTON, KY 41011-2135
(859) 655-6100
(859) 655-6179
Mailing address
1100 PIKE ST, COVINGTON, KY 41011-2135
(859) 655-6100
(859) 655-6179
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
21814
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000032832
ANTHEM
—
05
—
64218142
—
KY
01
—
K21814
CHOICE CARE
—
Enumeration date
07/18/2005
Last updated
07/08/2007
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