Individual
MEGAN MARION LYGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2365 DEMING WAY, MIDDLETON, WI 53562-5512
(608) 824-6160
(608) 827-3040
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
(608) 829-5485
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4126
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4126-23
WISCONSIN STATE PHYSICIAN ASSISTANT LICENSE
WI
Enumeration date
06/04/2017
Last updated
03/25/2022
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