Organization
LIGHTHOUSE FAMILY MEDICINE AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLUFUNMILOLA MODUPE OGBONLOWO MD (PHYSICIAN)
(571) 293-2424
Entity
Organization
Contact information
Practice address
19440 GOLF VISTA PLZ STE 120, LANSDOWNE, VA 20176-8264
(571) 293-2424
(833) 913-2348
Mailing address
19440 GOLF VISTA PLZ STE 120, LANSDOWNE, VA 20176-8264
(571) 293-2424
(833) 913-2348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
10/31/2025
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