Individual
HALLIE LIGHTDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2737 DEVONSHIRE PL NW, #123, WASHINGTON, DC 20008-3479
(718) 637-7679
Mailing address
2737 DEVONSHIRE PL NW, #123, WASHINGTON, DC 20008-3479
(718) 637-7679
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35558
DC
Other
Enumeration date
12/14/2005
Last updated
07/08/2007
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