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Individual

SHARONDA N LIGHTSY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
320 WHITTINGTON PKWY, SUITE 301, LOUISVILLE, KY 40222-4928
(502) 625-5584
(502) 426-2264
Mailing address
320 WHITTINGTON PKWY, SUITE 301, LOUISVILLE, KY 40222-4928
(502) 625-5584
(502) 426-2264

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
6380A
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1101471
RN
KY
01
6380A
CRNA
KY
Enumeration date
12/22/2009
Last updated
03/22/2016
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