Provider Demographics
NPI:1275736001
Name:LICHTENSTEIN, BRAD S (ND)
Entity Type:Individual
Prefix:DR
First Name:BRAD
Middle Name:S
Last Name:LICHTENSTEIN
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7908 ASHWORTH AVE N
Mailing Address - Street 2:UNIT B
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-4820
Mailing Address - Country:US
Mailing Address - Phone:206-295-9978
Mailing Address - Fax:800-853-3420
Practice Address - Street 1:7908 ASHWORTH AVE N
Practice Address - Street 2:UNIT B
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-4820
Practice Address - Country:US
Practice Address - Phone:206-295-9978
Practice Address - Fax:800-853-3420
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA760175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath