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Lighthouse Family Medicine, Pllc
Medical Specialty Clinic/Center in Washington, North Carolina
NPI 1093967408

Lighthouse Family Medicine, Pllc is a Medical Specialty Clinic/Center based in Washington, NC and is specialized in Medical Specialty. Lighthouse Family Medicine, Pllc practices in Washington, NC. The NPI Number for Lighthouse Family Medicine, Pllc is 1093967408 and holds a License No. 207-00955 (North Carolina).

The current practice location address for Lighthouse Family Medicine, Pllc is 1005 Brown St, Washington, NC and can be reached out via phone at 252-948-1393.

Location: 1005 Brown St, Washington, NC, 27889-4670
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093967408
Provider Name
Lighthouse Family Medicine, Pllc
Credential
Provider Entity Type
Organization
Address
1005 Brown St, Washington, NC, 27889-4670
Phone Number
252-948-1393
Fax Number
Provider Enumeration Date
10/16/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
146HH 01 NC BLUE CROSS
5908673 05 NC
institution
Provider Business Practice Location Address Details
Address
1005 Brown St
City
Washington
State
North Carolina
Zip
27889-4670
Phone Number
252-948-1393
Fax Number
person
Provider Business Mailing Address Details
Address
1005 Brown St
City
Washington
State
North Carolina
Zip
27889-4670
Phone Number
252-948-1393
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
207-00955 (North Carolina)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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