Individual
ORLANDO B LIGHTFOOT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
850 HARRISON AVE, BOSTON, MA 02118-4001
(617) 414-5245
(617) 638-6836
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
31834
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110034398A
—
MA
Enumeration date
06/09/2006
Last updated
06/25/2014
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