Individual
DEBORAH J LIGHTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
30818
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275793100
—
MN
01
—
340010317
RAILROAD MEDICARE
MN
05
—
35283700
—
WI
05
—
ENROLLED
—
IA
Enumeration date
12/29/2005
Last updated
03/09/2018
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