# LIGHTHOUSE MEDICAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306184858
- **Authorized official:** JOHN H. JOHNSON MD (CEO/OWNER)
- **Authorized official phone:** (814) 943-1271

## Contact information

- **Practice address:** 301 E. PLEASANT VALLEY BLVD, ALTOONA, PA 16602
- **Practice address phone:** (814) 944-5835
- **Practice address fax:** (814) 944-9184
- **Mailing address:** 311 E. PLEASANT VALLEY BLVD., ALTOONA, PA 16602
- **Mailing address phone:** (814) 943-1271
- **Mailing address fax:** (814) 940-8516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | MD044867E | PA | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | MD438515 | PA | — |

## Other

- **Enumeration date:** 01/17/2013
- **Last updated:** 02/28/2017