Provider Demographics
NPI:1053388835
Name:ARLINGTON MILL RUN INTERNAL MEDICINE LLP
Entity type:Organization
Organization Name:ARLINGTON MILL RUN INTERNAL MEDICINE LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:H
Authorized Official - Last Name:LICHTBLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-527-2562
Mailing Address - Street 1:3535 FISHINGER BLVD
Mailing Address - Street 2:STE 285
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026
Mailing Address - Country:US
Mailing Address - Phone:614-486-2212
Mailing Address - Fax:614-486-2471
Practice Address - Street 1:3535 FISHINGER BLVD
Practice Address - Street 2:STE 285
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026
Practice Address - Country:US
Practice Address - Phone:614-486-2212
Practice Address - Fax:614-486-2471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0310274Medicaid
AR9270773Medicare ID - Type Unspecified