Individual
DR. JAY LEONARD LICHTENFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1711 E CLIFTON RD NE, ATLANTA, GA 30307-1247
(678) 595-6572
Mailing address
1711 E CLIFTON RD NE, ATLANTA, GA 30307-1247
(678) 595-6572
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52358
GA
207RX0202X
Medical Oncology Physician
52358
GA
Other
Enumeration date
11/26/2017
Last updated
11/26/2017
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