Organization
LIGHTHOUSE INFUSIONS, PLLC
Active
Other names
Seattle Ketamine, Lighthouse Infusions
Organization subpart
No
Provider details
NPI number
Authorized official
LIANA REN CRNA, ARNP (OWNER / MEDICAL DIRECTOR)
(425) 835-2363
Entity
Organization
Contact information
Practice address
5701 NE BOTHELL WAY STE 4, KENMORE, WA 98028-9400
(425) 835-2363
(425) 368-7634
Mailing address
5701 NE BOTHELL WAY STE 4, KENMORE, WA 98028-9400
(425) 835-2363
(425) 368-7634
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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