Lightfoote, Johnson Benjamin

Lightfoote, Johnson Benjamin is an sole proprietor health care provider with primary practice located at 1798 N Garey Ave , Pomona CA 91767. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Lightfoote, Johnson Benjamin can be contacted via phone (909) 865-9535.

Contact Information

Primary practice address
1798 N Garey Ave Pomona CA 91767
Phone: (909) 865-9535
Fax: (909) 630-7394
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X G39456 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G39456 California

Profile Details

NPI number 1083696637
LBN Legal business name Lightfoote, Johnson Benjamin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2005
Last updated Jun 11th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083696637 NPPES
Florida Other ME 90724 STATE MEDICAL LICENSE
Florida Other 200500078 STATE MEDICAL LICENSE
Florida Other G39456 STATE MEDICAL LICENSE
Florida Other AL 8043 STATE MEDICAL LICENSE

Popular Providers