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1164441481
MARK R LICHTENSTEIN
VIRGINIA BEACH, VA
NPI
1164441481
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110001560)
Enumeration Date
2006-07-18
Last Update Date
2023-03-07
Business Address
-- MARK R LICHTENSTEIN PA
4092 FOXWOOD DR
VIRGINIA BEACH, VA 23462-5225
Phone number: 757-467-4200
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Mailing Address
-- MARK R LICHTENSTEIN PA
PO BOX 7549
PORTSMOUTH, VA 23707-0549
Phone number:
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