Lee Raymond Light MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LEE RAYMOND LIGHT MD PA

Practice address

10971 Bonita Beach Rd
Ste 1
Bonita Springs, FL 34135-9033

Phone

(239) 262-1833

Fax

(239) 262-3097

NPI assigned

Jul 21, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lee Raymond Light, M.D.

Title

Physician

Phone

(239) 262-1833

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1861657736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10971 BONITA BEACH RD",
            "address_2": "STE 1",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341359033",
            "telephone_number": "239-262-1833",
            "fax_number": "239-262-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10971 BONITA BEACH RD",
            "address_2": "STE 1",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341359033",
            "telephone_number": "239-262-1833",
            "fax_number": "239-262-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE RAYMOND LIGHT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "LIGHT",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "239-262-1833",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Steven Lanza, LMT,NCBTMB
• Stephan Larocque
• Richard Layden Jr., D.C.
• Jade Le, DMD
• Lee Health System Inc
• Brian D Lee
• Suzy Lee, M.D.
• Dalymar Legrand Torres
• Lelite Hair and More Beauty Studio LLC
• Donald Henry Lemire Jr., D.D.S.

• Internal Medicine Physician in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.