# CANNERCHARLES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lighthouse Medical Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215755764
- **Authorized official:** MS. EMILY KRAUTER (BILLING MANAGER)
- **Authorized official phone:** (757) 523-0022

## Contact information

- **Practice address:** 1129 COROLLA VILLAGE RD C, COROLLA, NC 27927
- **Practice address phone:** (252) 597-1157
- **Practice address fax:** (833) 972-1688
- **Mailing address:** 1201 LAKE JAMES DR STE 200, VIRGINIA BEACH, VA 23464-6780
- **Mailing address phone:** (757) 523-0022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/02/2024
- **Last updated:** 10/02/2024