Individual
DENNIE LIGHTLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 N MAIN AVE, ALBANY, NY 12203-1481
(917) 635-8708
Mailing address
40 N MAIN AVE, ALBANY, NY 12203-1481
(917) 635-8708
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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