Organization · Type 2 NPI
Lighthouse Diabetes Center
Adult Health Nurse Practitioner · York, ME
NPI number
1104786151
Active
Practice location
26 Mallard Dr
York, ME 03909-1361
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | None listed |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1104786151
Lighthouse Diabetes Center's National Provider Identifier is 1104786151, issued on Nov 13, 2025. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in York, ME. The record was last updated on Nov 13, 2025.