| Kristy Jordan Lichtenberg, PA | |
|
225 Smith Ave N, Ste 200, St Paul, MN 55102-2697 | |
| (651) 241-5111 | |
| (651) 241-5512 |
| Full Name | Kristy Jordan Lichtenberg |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 225 Smith Ave N, St Paul, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134637986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 12632 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Allina United Hospital | Saint paul, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allina Health System | 4587573613 | 3101 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristy Jordan Lichtenberg, PA 2925 Chicago Avenue, Minneapolis, MN 55407-1321 Ph: (612) 262-5000 | Kristy Jordan Lichtenberg, PA 225 Smith Ave N, Ste 200, St Paul, MN 55102-2697 Ph: (651) 241-5111 |
Mary Lee Mueller, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Mail Stop 11303a, St Paul, MN 55101 Phone: 651-254-4786 Fax: 651-228-8362 | |
Jessica F Jandric, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1026 W 7th Street, St Paul, MN 55102 Phone: 651-241-1000 | |
Lisa M Lau, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Mc 11102f, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5216 | |
Michael R Timm, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Mc 11503j, St Paul, MN 55101 Phone: 651-254-5701 Fax: 651-254-1519 | |
Yu Guan, Physician Assistant Medicare: Medicare Enrolled Practice Location: 640 Jackson St, St Paul, MN 55101 Phone: 952-883-5792 | |
Stephen C Wandersee, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson Street, Mc 11102f, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5216 |