Individual
DR. KATHERINE R LICHTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2730 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-2312
(414) 508-0002
(888) 355-6851
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(888) 987-1151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
113041
MO
207Q00000X
Family Medicine Physician
Primary
82165-21
WI
2083P0901X
Public Health & General Preventive Medicine Physician
113041
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00215429
RAILROAD MEDICARE
MO
Enumeration date
02/09/2006
Last updated
04/23/2026
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