Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTY JORDAN LICHTENBERG, PA
ActiveKRISTY JORDAN LICHTENBERG, PA is a Physician Assistant healthcare provider located in ST PAUL, Minnesota. NPI 1134637986 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ST PAUL, MN
Registration Details
- NPI Number
- 1134637986
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 15, 2018 (8.5985392966279 yrs)
- Last Updated
- Dec 14, 2023
- License
-
12632 (MN)
Practice Information
- Address
-
225 SMITH AVE NSTE 200ST PAUL, MN, 551022697Browse MN providers · Browse ZIP 55102
- Phone
- 6512415111
- Fax
- 6512415512
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in ST PAUL, MN
| Name | Credential | NPI |
|---|---|---|
| NICOLLE MICHELLE LANDE | PA | 1881671162 |
| MICHAEL R TIMM | PAC | 1245202399 |
| JAMES MARK NEWTON | PA | 1841263167 |
| CONNIE JO A CALDWELL | PA | 1801860853 |
| STEPHEN C WANDERSEE | PA | 1407822554 |
| GEORGE G VUCKOVIC | PA | 1982670915 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.