Individual
SETH JUSTIN LICHTENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2001 SANTA MONICA BLVD STE 280W, SANTA MONICA, CA 90404-2172
(310) 829-7678
(310) 829-6889
Mailing address
1717 WEST CONGRESS PARKWAY, 1042 KELLOGG, CHICAGO, IL 60612
(312) 942-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125069300
IL
207RC0000X
Cardiovascular Disease Physician
Primary
A161705
CA
Other
Enumeration date
07/14/2016
Last updated
11/22/2022
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