Individual
JONATHAN LICHTENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4012 BATTLEGROUND AVE STE B, STE 1020, GREENSBORO, NC 27410-8592
(336) 564-4341
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 564-4341
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NC
363AM0700X
Medical Physician Assistant
0010-05821
NC
Other
Enumeration date
07/02/2015
Last updated
10/17/2016
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