Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JUSTIN JEREMIAH LIGHTBURN, M.D.
ActiveDR. JUSTIN JEREMIAH LIGHTBURN, M.D. is a Therapeutic Radiology healthcare provider located in GOSHEN, Indiana. NPI 1346401395 is currently active in the NPPES registry. Verify at CMS.
Therapeutic Radiology · GOSHEN, IN
Registration Details
- NPI Number
- 1346401395
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2008 (18.170724851312 yrs)
- Last Updated
- Apr 24, 2023
- Licenses
-
01073831A (IN)01073831A (IL)
Practice Information
- Address
-
1855 S MAIN STGOSHEN, IN, 465264852Browse IN providers · Browse ZIP 46526
- Phone
- 5745337476
- Fax
- 5745337145
- Primary Specialty
-
Therapeutic Radiology
2085R0204X
- Additional Specialty
- Therapeutic Radiology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.