Organization
JCVAWTER LLC
Active
Other names
Lighthouse Medical Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON VAWTER (PRESIDENT)
(517) 280-5862
Entity
Organization
Contact information
Practice address
5077 WARDCLIFF DR, EAST LANSING, MI 48823-3858
(517) 280-5862
Mailing address
5077 WARDCLIFF DR, EAST LANSING, MI 48823-3858
(517) 280-5862
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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