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Individual
KATHRYN LIGHTCAP
Active
Individual
KATHRYN LIGHTCAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E10000110
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000629450
—
DE
Enumeration date
08/10/2005
Last updated
01/17/2014
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