Organization
LIGHTHOUSE MEDICAL, LLC
Active
Other names
Central PA Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH B STEELE (BILLING MANAGER)
(814) 793-4833
Entity
Organization
Contact information
Practice address
601 N FRONT ST, SUITE A, PHILIPSBURG, PA 16866-2303
(814) 342-2333
(814) 342-2277
Mailing address
601 N FRONT ST, SUITE A, PHILIPSBURG, PA 16866-2303
(814) 342-2333
(814) 342-2277
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
MC438515
PA
208VP0014X
Interventional Pain Medicine Physician
Primary
MD044867E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020712560001
—
PA
Enumeration date
09/23/2011
Last updated
09/25/2011
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