Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LIGHTHOUSE FAMILY MEDICINE AND WELLNESS PLLC
Active
Organization
LIGHTHOUSE FAMILY MEDICINE AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLUFUNMILOLA MODUPE OGBONLOWO MD (PHYSICIAN)
(571) 293-2424
Entity
Organization
Contact information
Practice address
19440 GOLF VISTA PLZ STE 120, LANSDOWNE, VA 20176-8264
(571) 293-2424
(833) 913-2348
Mailing address
19440 GOLF VISTA PLZ STE 120, LANSDOWNE, VA 20176-8264
(571) 293-2424
(833) 913-2348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
10/31/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers