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Russell Clay Lightfoot, NURSEPRACTITIONER
Pediatric Nurse Practitioner in Columbus, Ohio
NPI 1134502024

Russell Clay Lightfoot is a Pediatric Nurse Practitioner based in Columbus, OH and is specialized in Pediatrics. Russell Clay Lightfoot practices in Columbus, OH and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Russell Clay Lightfoot is 1134502024 and holds a License No. COA17440NP (Ohio).

The current practice location address for Russell Clay Lightfoot is 700 Childrens Dr, Columbus, OH and can be reached out via phone at 614-722-4200 and via fax at 614-722-4203.

Location: 700 Childrens Dr, Columbus, OH, 43205-2664
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Provider Profile Details
NPI Number
1134502024
Provider Name
Russell Clay Lightfoot
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Male
Address
700 Childrens Dr, Columbus, OH, 43205-2664
Phone Number
614-722-4200
Fax Number
614-722-4203
Provider Enumeration Date
07/09/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0142842 05 OH
institution
Provider Business Practice Location Address Details
Address
700 Childrens Dr
City
State
Zip
43205-2664
Phone Number
614-722-4200
Fax Number
614-722-4203
person
Provider Business Mailing Address Details
Address
700 Childrens Dr
City
State
Zip
43205-2664
Phone Number
614-722-4200
Fax Number
614-722-4203
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
APRN.CNP.17440 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
COA17440NP (Ohio)
Definition
Definition to come...
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