NPI 1235586660

Randi Beth Light, MS

Practitioner Specialist Valparaiso, IN

Practice location

Address: 2005 Valparaiso St Suite 209, Valparaiso, IN 46383-3329
Phone: (219) 252-5464
Fax: (219) 728-1860
Mailing address: 37 Shore Dr, Portage, IN 46368-1008

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

Other Specialist providers in Indiana →

Registry record

NPI: 1235586660
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 May 2016
Record last updated: 16 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.