MEDICARE: MR. DONALD LIGHTNER L.AC.

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
1	171100000X	Acupuncturist	0123	AZ

General Provider Information

NPI Number	:	1922174358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DONALD LIGHTNER L.AC.

Provider Business Mailing Address
First Line	:	3400 E SPEEDWAY BLVD STE 114
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-3954
Country	:	US
Telephone Number	:	520-323-0203
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 E SPEEDWAY BLVD STE 114
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-3954
Country	:	US
Telephone Number	:	520-323-0203
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	07/08/2007

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Directions to “ MR. DONALD LIGHTNER L.AC.” Practice Location

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