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Individual

ABRAHAM LICHTMACHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4705 MONTGOMERY BLVD NE, SUITE 301, ALBUQUERQUE, NM 87109-1226
(505) 727-4500
(505) 727-4505
Mailing address
4705 MONTGOMERY BLVD NE, SUITE 301, ALBUQUERQUE, NM 87109-1226
(505) 727-4500
(505) 727-4505

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
138912
NY
207V00000X
Obstetrics & Gynecology Physician
Primary
MD2004-0673
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
63871335
NM
Enumeration date
07/08/2006
Last updated
02/05/2016
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