Search › Colorado › 171100000X
Jason Lightfoot
NPI 1306291893 · on the registry since 2016 · sole proprietor
Practice
- Address
- 150 E Beaver Creek Blvd # 106b
Avon, CO 81620 - Phone
- (970) 949-0444
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-05-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado