Provider Demographics
NPI:1639603749
Name:LIGHTNER, ANGELA NANETTE (DO)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:NANETTE
Last Name:LIGHTNER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2460 N IH 35 E STE 165
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-5258
Mailing Address - Country:US
Mailing Address - Phone:972-938-3493
Mailing Address - Fax:
Practice Address - Street 1:2460 N IH 35 E STE 165
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-5258
Practice Address - Country:US
Practice Address - Phone:972-938-3493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-14
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS9546207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology