Individual
DR. JOHN LICHTENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
GW MEDICAL FACULTY ASSOCIATES, INC, 900 23RD ST NW, WASHINGTON, DC 20037
(202) 715-5189
Mailing address
900 23RD ST NW OFC G-113, WASHINGTON, DC 20037-2342
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
2085R0202X
Diagnostic Radiology Physician
243064
MA
2085R0202X
Diagnostic Radiology Physician
A119028
CA
2085R0202X
Diagnostic Radiology Physician
Primary
MD046109
DC
Other
Enumeration date
12/12/2006
Last updated
07/24/2018
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