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Organization

LIGHTHOUSE MEDICAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN H. JOHNSON MD (CEO/OWNER)
(814) 943-1271
Entity
Organization

Contact information

Practice address
507 TIRE HILL RD, SUITE 100, JOHNSTOWN, PA 15905-7311
(814) 254-4410
(814) 254-4348
Mailing address
311 E. PLEASANT VALLEY BLVD., ALTOONA, PA 16602
(814) 943-1271
(814) 940-8516

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD044867E
PA

Other

Enumeration date
09/11/2013
Last updated
02/28/2017
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