Kristy Jordan Lichtenberg, PA

NPI #1134637986 in St Paul, Minnesota

Provider Information

NPI Number: 1134637986
Entity Type: Individual
Name: Kristy Jordan Lichtenberg, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jan 15, 2018
Last Updated: Dec 14, 2023

Practice Location

Address: 225 SMITH AVE N
Address 2: STE 200
City: St Paul
State: Minnesota
ZIP Code: 55102-2697
Phone: (651) 241-5111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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