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Individual

JOHN LIGHTFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
901 E VIRGIL AVE, MILBANK, SD 57252-2124
(605) 432-3173
(320) 839-4196
Mailing address
820 ROY ST, ORTONVILLE, MN 56278-1138
(320) 839-4271
(320) 839-4196

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
6179
MN
225100000X
Physical Therapist
Primary
828
SD

Other

Enumeration date
07/10/2006
Last updated
03/25/2010
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