# MEREDITH L LIGHTFOOT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1083661052
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | L2420 | TX | Yes |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 01/31/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 160650101 | — | TX |
| 05 | — | 160650102 | — | TX |
| 01 | — | 8K1159 | BCBS PROVIDER ID | — |
| 01 | — | P00004642 | RRMCR OTHER | TX |
| 01 | — | P00046427 | RRMCR | TX |