EDWIN ALPHONSE LICHWA

WEST SACRAMENTO, CA
NPI1104856012
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A6985)
Enumeration Date2006-07-04
Last Update Date2021-12-16
Business Address
Dr. EDWIN ALPHONSE LICHWA D.O.
500 JEFFERSON BLVD STE B180
WEST SACRAMENTO, CA 95605-2394
Phone number: 916-375-6400
Mailing Address
Dr. EDWIN ALPHONSE LICHWA D.O.
612 SNAPDRAGON ST
WINTERS, CA 95694-1680
Phone number: 530-795-0958