Organization · Type 2 NPI
Lighthouse Medical, LLC
Pain Clinic/Center · Johnstown, PA
NPI number
1205149846
Active
Practice location
507 Tire Hill Road, Suite 100
Johnstown, PA 15905
Fax (814) 262-8161
Mailing address
311 E. Pleasant Valley Blvd.
Altoona, PA 16602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pain Clinic/Center Primary | 261QP3300X | MD044867E (PA) |
Pain Clinic/Center: Definition to come...
Another provider at this address
About NPI 1205149846
Lighthouse Medical, LLC's National Provider Identifier is 1205149846, issued on Jul 26, 2010. The primary taxonomy on file is Pain Clinic/Center (261QP3300X), and the practice location is in Johnstown, PA. The record was last updated on Feb 28, 2017.