Organization
LIGHTHOUSE MEDICAL LLC
Active
Organization
LIGHTHOUSE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED VIRANI MD (OWNER)
(832) 858-8058
Entity
Organization
Contact information
Practice address
1800 IRVING PL, SHREVEPORT, LA 71101-4608
(318) 425-4096
Mailing address
8455 FERN AVE APT 1406, SHREVEPORT, LA 71105-5785
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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