SearchLouisiana363AS0400X

Stephen Lightell, LSA

NPI 1871969873 · on the registry since 2015 · sole proprietor

Practice

Address
1196 Springwater Dr
Mandeville, LA 70471
Phone
(504) 442-6060
Organisation at this address
Gulf Coast Surgical Consultants Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Also registered as
246ZC0007X
Licence states on file
WI, DC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-05-04

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 Louisiana