Individual provider · Type 1 NPI

Kristy Jordan Lichtenberg, PA

Physician Assistant · St. Paul, MN

NPI number 1134637986 Active

Practice location

225 Smith Ave N, Ste 200
St. Paul, MN 55102-2697

Fax (651) 241-5512

Mailing address

2925 Chicago Avenue
Minneapolis, MN 55407-1321

Other practice locations

  • 6565 France Ave S Ste 375, Edina, MN 55435-2141 · (651) 312-1700
  • 1415 Lilac Dr N Ste 190, Golden Valley, MN 55422-4544 · (763) 267-8701

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Physician Assistant Primary 363A00000X12632 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1134637986

Kristy Jordan Lichtenberg, PA's National Provider Identifier is 1134637986, issued on Jan 15, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Paul, MN. The record was last updated on Dec 14, 2023.