Individual
AMY LOUISE LIGHTFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3088 TIMBER TRL, GAYLORD, MI 49735-7562
(989) 513-1786
Mailing address
3088 TIMBER TRL, GAYLORD, MI 49735-7562
(989) 513-1786
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704377851
MI
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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