Organization · Type 2 NPI
Lighthouse Medical, LLC
Pain Clinic/Center · Tyrone, PA
NPI number
1487979670
Active
Practice location
200 Hospital Dr Ste 6
Tyrone, PA 16686-1825
Fax (814) 682-7089
Mailing address
200 Hospital Dr, Suite 6
Tyrone, PA 16686-1825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pain Clinic/Center Primary | 261QP3300X | MD044867E (PA) |
Pain Clinic/Center: Definition to come...
About NPI 1487979670
Lighthouse Medical, LLC's National Provider Identifier is 1487979670, issued on Mar 31, 2010. The primary taxonomy on file is Pain Clinic/Center (261QP3300X), and the practice location is in Tyrone, PA. The record was last updated on Sep 2, 2011.