# LIGHTHOUSE FAMILY MEDICINE, INC

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

## Provider details

- **NPI number:** 1821040999
- **Authorized official:** ELIZABETH C. TURGEON M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (907) 376-5337

## Contact information

- **Practice address:** 290 N WILLOW ST, WASILLA, AK 99654-7042
- **Practice address phone:** (907) 376-5337
- **Mailing address:** 3061 N LAZY EIGHT CT, WASILLA, AK 99654-4319
- **Mailing address phone:** (907) 376-5337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 4174 | AK | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 03/27/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | MD06704 | — | AK |
| 05 | — | MDG415 | — | AK |