Individual
STEPHEN LIGHTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
1196 SPRINGWATER DR, MANDEVILLE, LA 70471-7434
(504) 442-6060
Mailing address
1196 SPRINGWATER DR, MANDEVILLE, LA 70471-7434
(504) 442-6060
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
15-493
WI
363AS0400X
Surgical Physician Assistant
Primary
SA0167
DC
Other
Enumeration date
08/13/2015
Last updated
05/04/2018
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