Lightfoot, Ida Madoka
Lightfoot, Ida Madoka is an sole proprietor health care provider with primary practice located at 6404 International Pkwy Ste 1010 , Plano TX 75093-8346. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Lightfoot, Ida Madoka can be contacted via phone (972) 267-1988.Contact Information
Primary practice address
6404 International Pkwy Ste 1010
Plano TX 75093-8346
Phone: (972) 267-1988
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 593409 | Texas |
Profile Details
| NPI number | 1851397046 |
|---|---|
| LBN Legal business name | Lightfoot, Ida Madoka |
| Credentials | RN, PMHNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jul 19th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851397046 | NPPES |
| Texas | MEDICAID | 368676801 | |
| Texas | Other | P94062 |
Popular Providers
-
Zazay, Christina Rachel
7707 San Jacinto Pl Ste 300 , Plano TX 75024-3377 -
Vickers, Matthew Aaron
7707 San Jacinto Pl Ste 300 , Plano TX 75024-3377 -
Francis, Marykutty
4825 Alliance Blvd Ste 150 , Plano TX 75093-5504 -
Thompson, Panchanok Chumpumud
6404 International Pkwy Ste 1010 , Plano TX 75093-8346 -
Dix, Ashley
6404 International Pkwy , Plano TX 75093-8225 -
Noorani, Nirmeen
7604 San Jacinto Pl , Plano TX 75024-3237 -
Ramzy, Cherylonda
4825 Alliance Blvd Ste 150 , Plano TX 75093-5577 -
Akoko, Ferdinand
3221 Independence Pkwy , Plano TX 75075-1972