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Individual

DR. FRANK JOHN LICHTENBERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
1414 FERN CREEK DR, STATESVILLE, NC 28625-9376
(704) 873-5055
(704) 873-5025
Mailing address
1414 FERN CREEK DR, STATESVILLE, NC 28625-9376
(704) 873-5055
(704) 873-5025

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
2012-00072
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1750590097
NC
05
4186144100
MD
01
BP1-0026150
INSTITUTIONAL PERMIT
05
NC2529
SC
01
NC5595A950
MEDICARE PTAN
NC
Enumeration date
05/22/2007
Last updated
03/08/2026
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