Individual
GINA LIGHTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3707 PROVIDENCE POINT DRIVE SE, SUITE E, ISSAQUAH, WA 98029-6216
(425) 391-1331
(425) 391-5021
Mailing address
3707 PROVIDENCE POINT DRIVE SE, SUITE E, ISSAQUAH, WA 98029-6216
(425) 391-1331
(425) 391-5021
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
05/27/2026
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