Individual
MISS SONYA JOLINE LICHTENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MEDICAL VILLAGE DR STE 258, ST. ELIZABETH HOSPITAL, EDGEWOOD, KY 41017-3403
(859) 341-7246
(859) 341-7867
Mailing address
15 ARLINGTON PL, FORT THOMAS, KY 41075-2400
(859) 816-4824
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1118077
KY
163W00000X
Registered Nurse
325071
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
85927
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000698683
ANTHEM BLUE CROSS BLUE SHIELD
—
05
—
201009550
—
IN
05
—
3137608
—
OH
01
—
611077369 1295716850
HEALTHNET
—
05
—
7100149460
—
KY
Enumeration date
11/29/2010
Last updated
05/07/2012
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