Individual
PATRICIA L LIGHTFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
820 S MCCLELLAN ST STE 118, SPOKANE, WA 99204-2446
(509) 838-7100
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004496
WA
363AS0400X
Surgical Physician Assistant
PA10004496
WA
Other
Enumeration date
07/20/2006
Last updated
04/06/2023
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