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Individual

JOHN K LIGHTFOOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
950 W WOOSTER ST, WOOD COUNTY HOSPITAL EMERGENCY DEPT., BOWLING GREEN, OH 43402-2603
(419) 373-7642
Mailing address
1103 PEARL ST, BOWLING GREEN, OH 43402-2663

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
214923
NY
207P00000X
Emergency Medicine Physician
4301078778
MI
207P00000X
Emergency Medicine Physician
Primary
88893
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02298635
NY
Enumeration date
12/05/2006
Last updated
06/15/2022
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