Johnson Benjamin Lightfoote M.D.

NPI 1083696637 - Radiology - 2085N0700X

NPI Details
NPI 1083696637
Gender Male
Enumeration Date 11/18/2005
Last Updated 06/11/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
1798 N GAREY AVE
POMONA CA, 91767, US
Phone (909) 865-9535
Fax (909) 630-7394
Business Location
808 S EASTHILLS DR
WEST COVINA CA, 91791-3449, US
Phone (909) 865-9535
Fax (909) 630-7394
Toxanomy
Taxonomy Code 2085N0700X
License State California
License Number G39456
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According to our database, Dr. Johnson Benjamin Lightfoote M.D. NPI is 1083696637, taxonomy code is 2085N0700X and license number is G39456, license state is located at California. Johnson Benjamin Lightfoote M.D. physically located at 1798 N Garey Ave, Pomona CA, 91767. NPI Number Johnson Benjamin Lightfoote M.D. has the Individual type.

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1083696637 NPI number is provided on an as is basis without warranty of any kind. 1083696637 is maintained by the National Plan & Provider Enumeration System. The contents of Johnson Benjamin Lightfoote M.D. are for informational purposes only.