Individual
GINA LIGHTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16150 NE 85TH ST STE 115, REDMOND, WA 98052-3541
(425) 882-1354
Mailing address
2245 NW 56TH ST APT 513, SEATTLE, WA 98107-4459
(774) 258-2704
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859297
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/06/2021
Last updated
07/23/2025
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