Individual
JENIFER LICHTENFELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5141
(575) 522-8641
(575) 532-4496
Mailing address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5141
(575) 522-8641
(575) 532-4496
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
88-211
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14039079
—
CO
Enumeration date
06/21/2005
Last updated
07/21/2022
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