Individual
REBECCA TIGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
507 W DOUGHTY ST, LAKE CITY, MN 55041-1500
(651) 345-2350
Mailing address
507 W DOUGHTY ST, LAKE CITY, MN 55041-1500
(651) 345-2350
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14156
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/04/2021
Last updated
11/22/2022
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