Individual
DANI LIGHTFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41816 FENWAY CIR, ASHBURN, VA 20148-8069
(434) 987-7797
Mailing address
1732 BLINKYS RD, NEW CANTON, VA 23123-2032
(434) 987-7797
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024190231
VA
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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