Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | MD19765 | ME |
NPI | 1023290145 |
---|---|
Provider Name | Dr. Erin Elizabeth Lichtenstein |
First Address | Fairfield, ME 04937-3314 |
Second Address | Fairfield, ME 04937-3314 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2007 |
Last Update Date | 17/11/2016 |