Individual
SHARENA LIGHTFOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, LPN
Contact information
Practice address
1911 WESTMEAD DR APT 2305, HOUSTON, TX 77077-4717
(985) 709-7955
Mailing address
712 WILCREST DR STE 171, HOUSTON, TX 77042-1348
(985) 709-7955
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20170679
LA
Other
Enumeration date
09/05/2021
Last updated
09/05/2021
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