Organization
THE LIGHTHOUSE PAIN CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA LYNNE DURHAM M.D. (PRESIDENT)
(205) 444-1167
Entity
Organization
Contact information
Practice address
2068 VALLEYDALE RD, HOOVER, AL 35244-2006
(205) 444-1167
(205) 444-1169
Mailing address
2068 VALLEYDALE RD, HOOVER, AL 35244-2006
(205) 444-1167
(205) 444-1169
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
15350
AL
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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