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Organization

PAUL R. LICHTENSTEIN, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL ROBERT LICHTENSTEIN M.D. (PRESIDENT)
(520) 326-6882
Entity
Organization

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
174400000X
Specialist
Primary
AZ8814
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1Z3294
HEALTHNET
AZ
01
21108814
STATE FUND-ICA
AZ
01
2309960
DES
AZ
01
AZ0056210
BCBS
AZ
Enumeration date
05/09/2007
Last updated
08/22/2020
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