Organization
LUBBOCK LIGHTHOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETE C RAMOS MS (DEPUTY DIRECTOR)
(806) 744-3419
Entity
Organization
Contact information
Practice address
1308 AVENUE Q STE A, LUBBOCK, TX 79401-3839
(806) 744-3419
(806) 747-1384
Mailing address
1308 AVENUE Q STE A, LUBBOCK, TX 79401-3839
(806) 744-3419
(806) 747-1384
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
1000011
TX
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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