Individual
LORI SUE LIGHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
880 N COLORADO ST, GILBERT, AZ 85233-3419
(480) 820-0825
(480) 820-7863
Mailing address
4747 N 7TH ST STE 100, PHOENIX, AZ 85014-3654
(602) 279-7655
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC - 2282
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
751116
—
AZ
Enumeration date
06/18/2006
Last updated
08/24/2022
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