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Dr. Johnson Benjamin Lightfoote, MD
Diagnostic Radiology Physician in Pomona, California
NPI 1083696637

Johnson Benjamin Lightfoote is a Diagnostic Radiology Physician based in West Covina, CA and is specialized in Diagnostic Radiology. Johnson Benjamin Lightfoote practices in Pomona, CA and has the professional credentials of MD. The NPI Number for Johnson Benjamin Lightfoote is 1083696637 and holds a License No. G39456 (California).

The current practice location address for Johnson Benjamin Lightfoote is 1798 N Garey Ave, Pomona, CA and can be reached out via phone at 909-865-9535 and via fax at 909-630-7394.

Location: 1798 N Garey Ave, Pomona, CA, 91791-3449
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083696637
Provider Name
Johnson Benjamin Lightfoote
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1798 N Garey Ave, Pomona, CA, 91791-3449
Phone Number
909-865-9535
Fax Number
909-630-7394
Provider Enumeration Date
11/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ME 90724 01 FL STATE MEDICAL LICENSE
200500078 01 NC STATE MEDICAL LICENSE
G39456 01 CA STATE MEDICAL LICENSE
AL 8043 01 AL STATE MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1798 N Garey Ave
City
Pomona
State
California
Zip
91767
Phone Number
909-865-9535
Fax Number
909-630-7394
person
Provider Business Mailing Address Details
Address
1798 N Garey Ave
City
Pomona
State
California
Zip
91767
Phone Number
909-865-9535
Fax Number
909-630-7394
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
G39456 (California)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
G39456 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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