Individual
ANDREW J LIGHTFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3319 SPRING ST, DAVENPORT, IA 52807-2125
(563) 359-1641
(563) 359-4634
Mailing address
3319 SPRING ST, DAVENPORT, IA 52807-2125
(215) 662-6157
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD448374
PA
Other
Enumeration date
06/27/2007
Last updated
09/30/2021
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