Individual
MS. REBECCA GIUDITTA LICHTENWALNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2 RIVERVIEW DR, DANBURY, CT 06810-6268
(203) 797-1500
(203) 730-9507
Mailing address
2 RIVERVIEW DR, DANBURY, CT 06810-6268
(203) 797-1500
(203) 730-9507
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00328700
NJ
363A00000X
Physician Assistant
Primary
2764
CT
Other
Enumeration date
06/28/2012
Last updated
06/04/2024
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