# LIGHTHOUSE FAMILY PRACTICE

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

## Provider details

- **NPI number:** 1881769461
- **Authorized official:** PAUL E RABER DO (OWNER PHYSICIAN)
- **Authorized official phone:** (706) 377-3349

## Contact information

- **Practice address:** 12134 AUGUSTA RD, STE A, LAVONIA, GA 30553-1208
- **Practice address phone:** (706) 377-3349
- **Mailing address:** 12134 AUGUSTA RD, LAVONIA, GA 30553-1208
- **Mailing address phone:** (706) 356-1422
- **Mailing address fax:** (706) 356-1425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 042704 | GA | Yes |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 06/14/2016