Provider Demographics
NPI:1700056231
Name:NORMAN S LICHTENFELD, MD, PC
Entity Type:Organization
Organization Name:NORMAN S LICHTENFELD, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:LICHTENFELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:251-639-0500
Mailing Address - Street 1:6701 AIRPORT BLVD
Mailing Address - Street 2:STE B110
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-6705
Mailing Address - Country:US
Mailing Address - Phone:251-639-0500
Mailing Address - Fax:251-639-0054
Practice Address - Street 1:6701 AIRPORT BLVD
Practice Address - Street 2:STE B110
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-6705
Practice Address - Country:US
Practice Address - Phone:251-639-0500
Practice Address - Fax:251-639-0054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-12
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0238110001Medicare NSC