Individual
BENJIL LIGHTFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(478) 335-5437
Mailing address
2953 ARMSTRONG DR, MACON, GA 31211-2728
(478) 335-5437
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN154623
GA
Other
Enumeration date
11/30/2006
Last updated
09/23/2020
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