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1336572742
KIMBERLY LICHTENFELD
CROWN POINT, IN
NPI
1336572742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: IN 71004567A)
Enumeration Date
2013-08-21
Last Update Date
2023-10-11
Business Address
KIMBERLY LICHTENFELD NP
11161 RANDOLPH ST
CROWN POINT, IN 46307-8564
Phone number: 219-664-9424
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Mailing Address
KIMBERLY LICHTENFELD NP
PO BOX 781076
DETROIT, MI 48278-2892
Phone number: 317-528-4800
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