IndividualActive
Brian Lightwine, D.O.
NPI 1154856508 · Pediatric Radiology Physician · Tucson, AZ
Provider details
- NPI number
- 1154856508
- Entity type
- Individual
- Primary specialty
- Pediatric Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 010337 (AZ)
Mailing address
1625 N Campbell Ave
Tucson, AZ 85719-4330
Registry dates
- Enumerated
- 2017-04-24
- Last updated
- 2025-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.