# LIGHTHOUSE FAMILY MEDICINE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lisa C. Nelson, MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093967408
- **Authorized official:** DR. LISA CARRAWAY NELSON MD (OWNER)
- **Authorized official phone:** (252) 948-1393

## Contact information

- **Practice address:** 1005 BROWN ST, WASHINGTON, NC 27889-4670
- **Practice address phone:** (252) 948-1393
- **Mailing address:** 1005 BROWN ST, WASHINGTON, NC 27889-4670
- **Mailing address phone:** (252) 948-1393

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 207-00955 | NC | Yes |

## Other

- **Enumeration date:** 10/16/2008
- **Last updated:** 10/16/2008