Individual
MR. JULIAN PHILLIP LICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 WASHINGTON ST, SUITE 508, SAN DIEGO, CA 92103-2231
(619) 299-2570
(619) 294-2738
Mailing address
501 WASHINGTON ST, SUITE 508, SAN DIEGO, CA 92103-2231
(619) 299-2570
(619) 294-2738
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A33711
CA
207RP1001X
Pulmonary Disease Physician
Primary
A33711
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A337110
—
CA
01
—
CR179A
MEDICARE PTAN
CA
Enumeration date
07/20/2006
Last updated
02/04/2015
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