Dan R Lightfoot M.D.

NPI 1023008075 - Ophthalmology - 207W00000X

NPI Details
NPI 1023008075
Gender Male
Enumeration Date 10/21/2005
Last Updated 07/01/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
720 4TH ST
SANTA ROSA CA, 95404-4421, US
Phone (707) 575-3800
Fax (707) 528-4967
Business Location
720 4TH ST
SANTA ROSA CA, 95404-4421, US
Phone (707) 575-3800
Fax (707) 528-4967
Toxanomy
Taxonomy Code 207W00000X
License State California
License Number G32243
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According to our database, Dr. Dan R Lightfoot M.D. NPI is 1023008075, taxonomy code is 207W00000X and license number is G32243, license state is located at California. Dan R Lightfoot M.D. physically located at 720 4th St, Santa Rosa CA, 95404-4421. NPI Number Dan R Lightfoot M.D. has the Individual type.

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1023008075 NPI number is provided on an as is basis without warranty of any kind. 1023008075 is maintained by the National Plan & Provider Enumeration System. The contents of Dan R Lightfoot M.D. are for informational purposes only.