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Individual

DR. WILMA C LIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1100 LIGONIER ST, STE 200, LATROBE, PA 15650-1978
(724) 539-4551
(724) 539-0835
Mailing address
1100 LIGONIER ST, STE 200, LATROBE, PA 15650-1978
(724) 539-4551
(724) 539-0835

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
MD017517E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006055920001
PA
01
0480153
AETNA
PA
01
101296
UPMC
PA
01
140772
HIGHMARK
PA
01
5348794
FIRST HEALTH
PA
01
66243
MED PLUS
PA
01
9973519002
CIGNA
PA
Enumeration date
06/13/2005
Last updated
06/28/2010
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