Organization
LADOKA HEALTH LLC
Active
Other names
Lighthouse Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN LOGUE APRN (OWNER)
(850) 249-0450
Entity
Organization
Contact information
Practice address
213 BEACHWOOD LN, PANAMA CITY BEACH, FL 32413-2789
(850) 249-0450
Mailing address
213 BEACHWOOD LN, PANAMA CITY BEACH, FL 32413-2789
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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