MARK EDWIN LIGHTOWLER

BRIDGEPORT, CT
NPI1376000869
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CT  5633)
Enumeration Date2019-02-21
Last Update Date2024-10-23
Business Address
Mr. MARK EDWIN LIGHTOWLER PA-C
2800 MAIN ST DEPT OF
BRIDGEPORT, CT 06606-4201
Phone number: 203-392-3600
Mailing Address
Mr. MARK EDWIN LIGHTOWLER PA-C
2800 MAIN ST DEPT OF
BRIDGEPORT, CT 06606-4201
Phone number: 203-362-3900
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