| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JENNA LEIGH LICHTENBERG | 1467114173 | 2022-11-23 |
Jenna Leigh Lichtenberg is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1467114173. Registration indicates Jenna Leigh Lichtenberg is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Jenna Leigh Lichtenberg |
| Practice Office Address | 5530 WISCONSIN AVE STE 1250 CHEVY CHASE, MD US |
| Practice Office Telephone | 3016521231 |
| Mailing Address | 5530 WISCONSIN AVE STE 1250 CHEVY CHASE, MD 208154314 US |
| Business Telephone | 3016521231 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 12800 Middlebrook Rd # 450 | Germantown, MD 208745204 | 3016521231 |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers |