Individual
DR. PAUL R LICHTENSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5200 E FARNESS DR, STE 100, TUCSON, AZ 85712-2140
(520) 326-6882
(520) 326-6886
Mailing address
5200 E FARNESS DR, STE 100, TUCSON, AZ 85712-2140
(520) 326-6882
(520) 326-6886
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
8814
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z3294
HEALTHNET
AZ
01
—
21108814
STATE FUND
AZ
01
—
230996
STATE
—
01
—
AZ0056210
BCBS
AZ
Enumeration date
11/03/2005
Last updated
01/11/2008
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