STEPHEN LIGHTELL


Address: 1196 Springwater Dr, Mandeville, LA 70471-7434
Phone: 5044426060

STEPHEN LIGHTELL (NPI# 1871969873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871969873
Entity Type Individual
Full Name STEPHEN LIGHTELL
Credential LSA
Practice Address 1196 Springwater Dr
Mandeville
LA 70471-7434
Practice Telephone 5044426060
Mailing Telephone 5044426060
Enumeration Date 2015-08-13
Last Update Date 2018-05-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
SA0167 DC Physician Assistants & Advanced Practice Nursing Providers
N 246ZC0007X Specialist/Technologist, Other
Specialization: Surgical Assistant
15-493 WI Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 1196 SPRINGWATER DR
City MANDEVILLE
State LA
Zip Code 70471-7434

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821460973 Gulf Coast Surgical Consultants LLC Registered Nurse 1196 Springwater Dr, Mandeville, LA 70471-7434 2015-10-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497398234 Joshua Joseph Leblanc Pharmacist 541 Asbury Dr., Mandeville, LA 70471 2019-10-24
1700356789 John R. Macgregor Jr. M.d. (apmc) Non-Pharmacy Dispensing Site 1502 West Causeway Approach, Suite D, Mandeville, LA 70471 2018-12-03
1619462082 Southern Family Chiropractic, LLC Chiropractor 2077 North Causeway Blvd, Mandeville, LA 70471 2018-06-27
1518459833 Marissa Rose Ledet Corneille Audiologist 1420 N Causeway Blvd., Mandeville, LA 70471 2018-06-01
1891285193 Tyler Gravley Chiropractor 2077 N Causeway Blvd, Suite 3, Mandeville, LA 70471 2018-05-14
1831640259 Trey Stokes Nurse Anesthetist, Certified Registered 104 West Brighton Court, Mandeville, LA 70471 2016-10-20
1619420759 Erin Salerno Counselor 6408 Village Ln, Mandeville, LA 70471 2016-07-25
1699121822 Austin Fontenot Chiropractor 1011 N. Caueway Blvd. Ste 28, Mandeville, LA 70471 2016-05-06
1578935136 Vanessa Hadden Social Worker 600 Mariners Plaza, Mandeville, LA 70471 2015-10-22
1134590912 Slent Investments, LLC Clinic/Center 1420 North Causeway Boulevard, Suite B, Mandeville, LA 70471 2015-10-19
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427250026 Donna Brown Holmes Physician Assistant 230 Audubon Drive, Mandeville, LA 70471 2007-06-05
1982811006 Jennifer N Meserole Physician Assistant 230 Audubon Dr, Mandeville, LA 70471 2007-05-17
1477751402 Darrel Lee Brown Physician Assistant 230 Audubon Dr, Mandeville, LA 70471 2007-07-11
1790992816 Edgardo A Javier Physician Assistant 230 Audubon Dr, Mandeville, LA 70471 2007-05-17
1447467568 Sharon A Schuster Physician Assistant 230 Audubon Dr, Mandeville, LA 70471 2007-05-17
1619184728 Joel B Garrett Physician Assistant 230 Audubon Dr, Mandeville, LA 70471 2007-05-17
1225245343 Kentucky R Skinner Physician Assistant 230 Audubon Dr, Mandeville, LA 70471 2007-05-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104423151 Osler Surgical Services LLC Physician Assistant 929 Tezcucco Ct, Covington, LA 70433-8157 2020-10-02
1841841855 Kasie Danielle Nelson Physician Assistant 8585 Picardy Ave Ste 514, Baton Rouge, LA 70809-3748 2019-09-23
1013575018 Louisiana Surgical Assist, L.L.C. Physician Assistant 1374 Knollwood Dr, Baton Rouge, LA 70808-8647 2019-06-04
1285290098 Nicole Michelle Toups Physician Assistant 2551 Greenwood Rd Ste 311, Shreveport, LA 71103-3981 2019-05-16
1437712114 Karley Marie Boagni Physician Assistant 3434 Prytania St Ste 410, New Orleans, LA 70115-3574 2019-04-17
1144793175 Picardy Surgical Assist II, L.L.C. Physician Assistant 7425 Bocage Blvd, Baton Rouge, LA 70809-1141 2019-01-02
1952874984 Perkins Surgical Assist II, L.L.C. Physician Assistant 18611 Saint Andrews Ct W, Prairieville, LA 70769-3251 2019-01-02
1578033825 Picardy Surgical Assist, L.L.C. Physician Assistant 7301 Hennessy Blvd Ste 300, Baton Rouge, LA 70808-4794 2018-11-29
1609362177 Harley Ann Augustine Physician Assistant 3001 Division St, Metairie, LA 70002-5854 2018-07-07
1750880134 Robert Gomann Genovese II Physician Assistant 1233 Wayne Gilmore Cir Ste 250a, Opelousas, LA 70570-6405 2018-02-12
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Competitor

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City MANDEVILLE
Zip Code 70471

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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