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General NPI Number Information
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NPI Number | 1699810747
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Entity Type | Individual
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Provider Name | LYNNE J. LIGHTFOOTE M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 5454 WISCONSIN AVE STE 1005
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City | CHEVY CHASE
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State | MD
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Zip | 20815-6917
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Country | US
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Telephone | 301-968-6080
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Fax | 833-438-4270
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Provider Business Mailing Address
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Address Line | 5454 WISCONSIN AVE STE 1005
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City | CHEVY CHASE
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State | MD
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Zip | 20815-6917
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Country | US
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Telephone | 301-968-6080
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Fax | 833-438-4270
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD035589
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD035589
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0101285714
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D0102649
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License Number State | MD
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