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Lighthouse Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lemoore, California
NPI 1639474265

Lighthouse Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, CA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Lighthouse Dialysis Llc practices in Lemoore, CA. The NPI Number for Lighthouse Dialysis Llc is 1639474265 and holds a License No. 550001590 (California).

The current practice location address for Lighthouse Dialysis Llc is 1345 W Bush St, Lemoore, CA and can be reached out via phone at 559-924-3175 and via fax at 559-924-2485.

Location: 1345 W Bush St, Lemoore, CA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639474265
Provider Name
Lighthouse Dialysis Llc
Credential
Provider Entity Type
Organization
Address
1345 W Bush St, Lemoore, CA, 37027-7569
Phone Number
559-924-3175
Fax Number
559-924-2485
Provider Enumeration Date
01/12/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1639474265 05 CA
institution
Provider Business Practice Location Address Details
Address
1345 W Bush St
City
Lemoore
State
California
Zip
93245-3303
Phone Number
559-924-3175
Fax Number
559-924-2485
person
Provider Business Mailing Address Details
Address
1345 W Bush St
City
Lemoore
State
California
Zip
93245-3303
Phone Number
559-924-3175
Fax Number
559-924-2485
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
550001590 (California)
Definition
Definition to come...
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