Lightbody, Peter

Lightbody, Peter is an individual health care provider with primary practice located at 26004 104Th Ave Se , Kent WA 98030-7677. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Lightbody, Peter can be contacted via phone (425) 251-4040.

Contact Information

Primary practice address
26004 104Th Ave Se Kent WA 98030-7677
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD00039118 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00039118 Washington

Profile Details

NPI number 1720132640
LBN Legal business name Lightbody, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Apr 27th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720132640 NPPES
Washington MEDICAID 8272437

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