Individual
MR. MARK EDWIN LIGHTOWLER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2800 MAIN ST DEPT OF, BRIDGEPORT, CT 06606-4201
(203) 392-3600
Mailing address
2800 MAIN ST DEPT OF, BRIDGEPORT, CT 06606-4201
(203) 362-3900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5633
CT
Other
Enumeration date
02/21/2019
Last updated
10/23/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us