Individual
DR. JONATHAN ANDREW LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
411 W TIPTON ST, SEYMOUR, IN 47274-2363
(812) 522-2349
Mailing address
1520 NEW FORD RD, SEYMOUR, IN 47274-2263
(501) 240-4963
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01071181A
IN
208000000X
Pediatrics Physician
01071181A
IN
Other
Enumeration date
05/16/2008
Last updated
07/05/2012
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