Organization · Type 2 NPI
Lighthouse Primary Care, LLC
Primary Care Nurse Practitioner · Dover, DE
NPI number
1023872827
Active
Practice location
1288 S Governors Ave Ste B
Dover, DE 19904-4802
Fax (800) 507-3166
Mailing address
PO Box 515
Dover, DE 19903-0515
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1023872827
Lighthouse Primary Care, LLC's National Provider Identifier is 1023872827, issued on Feb 12, 2024. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Dover, DE. The record was last updated on Aug 16, 2024.