MEDICARE: DR. KATHERINE R LICHTENBERG D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083P0901X	Public Health & General Preventive Medicine Physician	113041	MO
2	207Q00000X	Family Medicine Physician	82165-21	WI
3	207Q00000X	Family Medicine Physician	113041	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00215429	OTHER	MO	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1487627568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHERINE R LICHTENBERG D.O.

Provider Business Mailing Address
First Line	:	102 WOODMONT BLVD STE 600
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-5250
Country	:	US
Telephone Number	:	888-987-1151
Fax Number	:

Provider Business Practice Location Address
First Line	:	2730 N MARTIN LUTHER KING DR
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53212-2312
Country	:	US
Telephone Number	:	414-508-0002
Fax Number	:	888-355-6851

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2006
Last Update Date	:	04/23/2026

Similar Medicare Providers

1326363896 — EVAN STERLING PLOWGIAN MD
Practice Location Address:

2730 N MARTIN LUTHER KING DR
MILWAUKEE, WI
53212-2312

Practice Phone: 414-508-0002
Practice Fax: 888-355-6851

1427493386 — JGSJ LLC
Practice Location Address:

2772 N DR. MARTIN LUTHER KING JR DRIVE , SUITE 105
MILWAUKEE, WI
53212-2312

Practice Phone: 414-399-3850
Practice Fax: 414-755-0725

1982203857 — TIERA MANUEL FNP
Practice Location Address:

2730 N MARTIN LUTHER KING DR
MILWAUKEE, WI
53212-2312

Practice Phone: 414-508-0002
Practice Fax: 888-355-6851

1902611841 — HOUSE OF PURPOSE
Practice Location Address:

2772 N MLK DR STE 106
MILWAUKEE, WI
53212-2312

Practice Phone: 414-607-2662
Practice Fax:

1164228797 — ARCHWELL HEALTH PROFESSIONAL SERVICES OF WISCONSIN, SC
Practice Location Address:

2730 N MARTIN LUTHER KING DR
MILWAUKEE, WI
53212-2312

Practice Phone: 414-508-0002
Practice Fax:

1184981235 — LAMONT TERRANCE WILLIAMS
Practice Location Address:

5129 W VIENNA AVE
MILWAUKEE, WI
53216-2312

Practice Phone: 414-803-4976
Practice Fax:

Directions to “ DR. KATHERINE R LICHTENBERG D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.