Individual
DR. GREGG ALAN LICHTENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5500 CAMPANILE DR, STUDENT HEALTH SERVICES SAN DIEGO STATE UNIVERSITY, SAN DIEGO, CA 92182-0001
(619) 594-5281
(619) 594-3638
Mailing address
STUDENT HEALTH SERVICES, SAN DIEGO STATE UNIVERSITY, 5500 CAMPANILE DRIVE, SAN DIEGO, CA 92182-4701
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
G44467
CA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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