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1104856012
EDWIN ALPHONSE LICHWA
WEST SACRAMENTO, CA
NPI
1104856012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A6985)
Enumeration Date
2006-07-04
Last Update Date
2021-12-16
Business Address
Dr. EDWIN ALPHONSE LICHWA D.O.
500 JEFFERSON BLVD STE B180
WEST SACRAMENTO, CA 95605-2394
Phone number: 916-375-6400
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Mailing Address
Dr. EDWIN ALPHONSE LICHWA D.O.
612 SNAPDRAGON ST
WINTERS, CA 95694-1680
Phone number: 530-795-0958
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