# DR. MICHELLE DIANE SWANSON LIGHTFOOT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1699189910
- **Gender:** F
- **Credential:** MD, MPH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 260104 | MA | Yes |

## Other

- **Enumeration date:** 06/14/2014
- **Last updated:** 06/16/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 260104 | MASSACHUSETTS BOARD OF REGISTRATION IN MEDICINE | MA |