Individual
CLARISSA LIGHTSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
312 WHITTINGTON PKWY, LOUISVILLE, KY 40222-4923
(502) 429-1249
Mailing address
6506 REDHAVEN WAY, LOUISVILLE, KY 40228-2608
(502) 435-7104
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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