Organization
CRAIG H LICHTBLAU MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG H LICHTBLAU MD (MD/OWNER)
(561) 842-3694
Entity
Organization
Contact information
Practice address
550 NORTHLAKE BLVD, NORTH PALM BEACH, FL 33408-5409
(561) 842-3694
(561) 842-3774
Mailing address
550 NORTHLAKE BLVD, NORTH PALM BEACH, FL 33408-5409
(561) 842-3694
(561) 842-3774
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME0056279
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K0892
GROUP PTAN
FL
Enumeration date
07/19/2007
Last updated
12/12/2007
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