Individual
CRAIG H LICHTBLAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 NORTHLAKE BLVD, NORTH PALM BEACH, FL 33408-5409
(561) 842-3694
(561) 842-3774
Mailing address
550 NORTHLAKE BLVD, NORTH PALM BEACH, FL 33408-5409
(561) 842-3694
(561) 842-3774
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME0056279
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039775000
—
FL
Enumeration date
05/17/2006
Last updated
08/11/2010
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