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NPI Code Detail

MEDICARE: DR. LYNETTE ELIZABETH LEIGHTON M.D.

MEDICARE: DR. LYNETTE ELIZABETH LEIGHTON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianA104902CA

General Provider Information

NPI Number : 1184875056
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LYNETTE ELIZABETH LEIGHTON M.D.
Provider Business Mailing Address
First Line : 1141 PEAR TREE LN STE 100
Second Line :
City : NAPA
State : CA
Zip : 94558-6485
Country : US
Telephone Number : 707-254-1774
Fax Number : 707-251-2995
Provider Business Practice Location Address
First Line : 300 HARTLE CT
Second Line :
City : NAPA
State : CA
Zip : 94559-4078
Country : US
Telephone Number : 707-254-1775
Fax Number : 707-254-1779
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2008
Last Update Date : 11/15/2019

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