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Organization
THE LIGHTHOUSE PAIN CLINIC, PC
Active
Organization
THE LIGHTHOUSE PAIN CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA LYNNE DURHAM M.D. (PRESIDENT)
(205) 444-1167
Entity
Organization
Contact information
Practice address
2068 VALLEYDALE RD, HOOVER, AL 35244-2006
(205) 444-1167
(205) 444-1169
Mailing address
2068 VALLEYDALE RD, HOOVER, AL 35244-2006
(205) 444-1167
(205) 444-1169
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
15350
AL
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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