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Individual

JOEL EDWARD LICHTENSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-6200
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
MD00038141
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD00038141
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0231556
L&I
WA
05
1952486763
WA
01
256760
INTERNAL ID-MOTOR VEHICLE ID
Enumeration date
10/27/2006
Last updated
11/30/2011
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