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Fernando Lightfoot
NPI 1790510915 · on the registry since 2024
Practice
- Address
- 3101 Homestead Dr
Petersburg, VA 23805 - Phone
- (804) 861-1249
Registry record
- Primary taxonomy
- 101YS0200X
101YS0200X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-06
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 Virginia