Individual
FAYJA LICHTENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 E SUPERIOR ST STE 201, DULUTH, MN 55802-2228
(218) 249-5190
Mailing address
2217 SUSQUEHANNA AVE, SUPERIOR, WI 54880-4526
(218) 591-3806
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
03/27/2026
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