Individual
SAMANTHA LIGHTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
207 LEE AVE NW, HARTSELLE, AL 35640-8544
(256) 606-3699
Mailing address
207 LEE AVE NW, HARTSELLE, AL 35640-8544
(256) 606-3699
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
23111
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/14/2021
Last updated
08/24/2024
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