Individual
DR. MICHELLE DIANE SWANSON LIGHTFOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-2285
Mailing address
369 FRANKLIN ST APT 502, CAMBRIDGE, MA 02139-5105
(857) 891-5131
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
260104
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260104
MASSACHUSETTS BOARD OF REGISTRATION IN MEDICINE
MA
Enumeration date
06/14/2014
Last updated
06/16/2014
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