Individual
JENNIFER LICHTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP-A
Contact information
Practice address
8000 LITTLE DIPPER AVE UNIT A, ANCHORAGE, AK 99504-4127
(360) 630-1435
Mailing address
8000 LITTLE DIPPER AVE UNIT A, ANCHORAGE, AK 99504-4127
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
155526
AK
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
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