Most Relevant Information
Provider Data
| NPI Number: | 1003258492 |
| Provider Name: | LAURA ANN LICHTENWALNER |
| Entity Type: | Individual |
| Taxonomy Code: | 163WS0200X |
| Specialty: | Registered Nurse |
| License Number: | RN166233 |
Most Important Dates
| Enumeration Date: | 07/25/2013 |
| Last Updated: | 07/25/2013 |
Provider Practice Location
102 N PLUMER AVE
TUCSON
AZ
857195906
Practice Location Phone/Fax
| Phone: | 5202253284 |
| Fax: |
Provider Mailing Location
102 N PLUMER AVE
TUCSON
AZ
857195906
Provider Mailing Phone/Fax
| Phone: | 5202253284 |
| Fax: |