Individual
DR. JACQUELINE W LICHTENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16055 VENTURA BLVD, # 710, ENCINO, CA 91436-2610
(818) 986-0404
(818) 905-8883
Mailing address
16055 VENTURA BLVD # 710, ENCINO, CA 91436-2610
(818) 986-0404
(818) 905-8883
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G29548
CA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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