Individual
MR. CHRISTOPHER S LICHTENWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10238 E HAMPTON AVE, SUITE 501, MESA, AZ 85209-3316
(480) 889-1573
(480) 889-1574
Mailing address
10238 E HAMPTON AVE, SUITE 501, MESA, AZ 85209-3316
(480) 889-1573
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
43102
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
526239
—
AZ
Enumeration date
05/09/2006
Last updated
06/21/2012
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