Individual
DR. ALAN LICHTENSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 6TH ST S, BAYFRONT HEALTH DEPT OF ANESTHESIA, ST PETERSBURG, FL 33701-4814
(727) 424-2660
Mailing address
9411 SILVERTHORN RD, SEMINOLE, FL 33777-3166
(727) 424-2660
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME0072247
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261615700
—
FL
01
—
32954
BCBS OF FL
FL
01
—
ME0072247
FL MEDICAL LICENSE NUMBER
FL
01
—
P00680591
RAILROAD MCR ATTACHED TO GRP CF4811
—
Enumeration date
07/20/2006
Last updated
10/12/2016
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