Richard Anthony Lightfoot JR.

NPI #1841704657 in Stafford, Virginia

Provider Information

NPI Number: 1841704657
Entity Type: Individual
Name: Richard Anthony Lightfoot JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Dec 1, 2017
Last Updated: Dec 1, 2017

Practice Location

Address: 45 SUMMERWOOD DR
City: Stafford
State: Virginia
ZIP Code: 22554-5165
Phone: (540) 288-6538

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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