Lichtenberg, Kristy Jordan

Lichtenberg, Kristy Jordan is an individual health care provider with primary practice located at 225 Smith Ave N Ste 200, St Paul MN 55102-2697. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Lichtenberg, Kristy Jordan can be contacted via phone (651) 241-5111.

Contact Information

Primary practice address
225 Smith Ave N Ste 200 St Paul MN 55102-2697
Phone: (651) 241-5111
Fax: (651) 241-5512
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 12632 Minnesota

Profile Details

NPI number 1134637986
LBN Legal business name Lichtenberg, Kristy Jordan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2018
Last updated Dec 14th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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