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Organization

LIGHTNETWORK INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REID BRADLEY (CEO)
(320) 309-8913
Entity
Organization

Contact information

Practice address
38868 12TH AVE, NORTH BRANCH, MN 55056-6658
(320) 309-8913
Mailing address
38868 12TH AVE, NORTH BRANCH, MN 55056-6658
(320) 309-8913

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
05/05/2026
Last updated
05/05/2026
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