Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gina Lightner

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114519683

Gina Lightner is a Student in an Organized Health Care Education/Training Program in Issaquah, Washington. Works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

3707 Providence Point Dr SE Ste E
Issaquah, WA 98029-6216
Phone: (425) 391-1331
Fax: (425) 391-5021
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 21 Merchants Row Ste 2a, Boston, MA 02109-2040 — (617) 523-0688

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN1859297 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114519683
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 6, 2021
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026
Mailing address3707 Providence Point Drive Se, Suite E, Issaquah, WA 98029-6216

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