Individual
DR. PAOLA N LICHTENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 243-6837
Mailing address
1500 NW 12TH AVE, JMH EAST 1007, MIAMI, FL 33136-1051
(305) 243-4664
(305) 243-9927
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME95138
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2813971-00
—
FL
Enumeration date
05/29/2008
Last updated
01/20/2012
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