Provider Demographics
NPI:1699810747
Name:LIGHTFOOTE, LYNNE J (MD)
Entity Type:Individual
Prefix:DR
First Name:LYNNE
Middle Name:J
Last Name:LIGHTFOOTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5215 LOUGHBORO RD NW
Mailing Address - Street 2:SUITE 500
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-2618
Mailing Address - Country:US
Mailing Address - Phone:202-243-3500
Mailing Address - Fax:202-966-8441
Practice Address - Street 1:5215 LOUGHBORO RD NW
Practice Address - Street 2:SUITE 500
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2618
Practice Address - Country:US
Practice Address - Phone:202-243-3500
Practice Address - Fax:202-966-8441
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD035589174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist