Individual
ELIZABETH ROSE LICHTSINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
7881 CARNEGIE BLVD, FORT WAYNE, IN 46804-5792
(260) 436-8000
(260) 434-0929
Mailing address
7881 CARNEGIE BLVD, FORT WAYNE, IN 46804-5792
(260) 436-8000
(260) 434-0929
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71009392A
IN
Other
Enumeration date
09/20/2019
Last updated
09/06/2022
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