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Contact Information

LIGHTHOUSE MEDICAL, LLC
301 E. PLEASANT VALLEY BLVD.
ALTOONA, PA16602
 Phone: 814-944-5835
 Fax: 814-944-9184
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for LIGHTHOUSE MEDICAL LLC · (Female)

NPI Number 1932382595
Status Active
Credentials
Entity Individual
Enumeration date 12/06/2007
Last updated 02/28/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # MD044867E
  • PA License # MD438515
  • PA Medicaid 1020712560001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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