Individual
RON LICHTENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2210 E ILLINOIS AVE, SUITE 406, FRESNO, CA 93701-2125
(559) 486-8888
(559) 486-8887
Mailing address
3812 N 1ST ST, FRESNO, CA 93726-4301
(559) 495-3120
(559) 495-3134
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
G77034
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G77034
CA STATE PROVIDER LIC NU
CA
Enumeration date
08/29/2005
Last updated
03/18/2013
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