Individual
DR. RICHARD LIGHTSEY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2555 N DR MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-2709
(414) 372-8080
Mailing address
2555 N DR MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-2709
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7066-15
WI
Other
Enumeration date
05/23/2013
Last updated
07/19/2013
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