Provider Demographics
NPI:1467618462
Name:LICHTENSTEIN, VIOLET MARIE
Entity Type:Individual
Prefix:
First Name:VIOLET
Middle Name:MARIE
Last Name:LICHTENSTEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VIOLET
Other - Middle Name:
Other - Last Name:RAMONAITIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3200 VINE STREET
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45220
Mailing Address - Country:US
Mailing Address - Phone:859-392-3850
Mailing Address - Fax:859-392-3841
Practice Address - Street 1:103 LANDMARK DRIVE
Practice Address - Street 2:BELLEVUE LA HEALTH CARE
Practice Address - City:BELLEVUE
Practice Address - State:KY
Practice Address - Zip Code:41073
Practice Address - Country:US
Practice Address - Phone:859-392-3850
Practice Address - Fax:859-392-3841
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH114071163W00000X
KY1043253363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse