Individual
BRYAN LICHTENAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
43150 BROADLANDS CENTER PLZ STE 154, BROADLANDS, VA 20148-3801
(571) 888-5045
Mailing address
43150 BROADLANDS CENTER PLZ STE 154, BROADLANDS, VA 20148-3801
(571) 319-6768
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104-557702
VA
Other
Enumeration date
02/04/2021
Last updated
07/16/2021
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