National Provider Identifier Database

VICTORIA LIGHTLE
Gastroenterology


Contact Information

VICTORIA LIGHTLE
500 W FORT ST
BOISE, ID83702-4501
Phone: 208-422-1092
Fax:
Website:
Specialty Taxonomy Code
* Gastroenterology 163WG0100X

* Indicates primary specialty

NPI Profile & details for VICTORIA LIGHTLE

NPI Number 1982227435
Credentials
Entity Individual
Enumeration date 05/19/2020
Last updated 05/19/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • ID License #: N-28383
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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