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Individual

ROBERT D LIGHTFOOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5 MOBILE INFIRMARY CIR, MOBILE, AL 36607-3513
(251) 435-5711
(251) 435-6478
Mailing address
PO BOX 10583, BIRMINGHAM, AL 35202-0583
(251) 435-5711
(251) 435-6478

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.12742
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009925315
AL
05
009936272
AL
05
009936273
AL
05
009936274
AL
01
1932289402
TRICARE SOUTH
AK
01
510-03435
BCBS
AL
01
515-16635
BCBS
AL
01
515-33150
BCBS
AL
01
515-33151
BCBS
AL
Enumeration date
10/17/2006
Last updated
02/03/2011
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