Individual
DR. LEE RAYMOND LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10971 BONITA BEACH RD, STE 1, BONITA SPRINGS, FL 34135-9033
(239) 262-1833
(239) 262-3097
Mailing address
10971 BONITA BEACH RD, STE 1, BONITA SPRINGS, FL 34135-9033
(239) 262-1833
(239) 262-3097
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0020345
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71218
BLUECROSS & BLUE SHIELD
FL
Enumeration date
06/29/2006
Last updated
01/16/2019
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