Individual
JASON BARRY LICHTENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(678) 216-0771
Mailing address
5315 LONDON DR, ATLANTA, GA 30327-4943
(404) 772-1787
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
62058
GA
207L00000X
Anesthesiology Physician
A77296
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A772960
—
CA
Enumeration date
06/22/2006
Last updated
01/24/2023
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