IndividualActive
Alex Lichtenauer
NPI 1710630660 · Other Specialist/Technologist · Philadelphia, PA
Provider details
- NPI number
- 1710630660
- Entity type
- Individual
- Primary specialty
- Other Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- AK001328 (PA)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
2308 Grays Ferry Ave
Philadelphia, PA 19146-1177
Phone: (215) 772-1040
Approximate (ZIP-level) locationGet directions
Mailing address
2018 Mountain St
Philadelphia, PA 19145-1428
Registry dates
- Enumerated
- 2022-02-01
- Last updated
- 2022-02-01
- Certified
- 2022-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.