Organization
LIGHTHOUSE MEDICAL, LLC
Active
Other names
Central PA Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN H. JOHNSON MD (CEO/OWNER)
(814) 943-1271
Entity
Organization
Contact information
Practice address
301 EAST PLEASANT VALLEY BLVD., ALTOONA, PA 16602-4475
(814) 944-5835
(814) 940-8516
Mailing address
311 E. PLEASANT VALLEY BLVD., ALTOONA, PA 16602
(814) 943-1271
(814) 940-8516
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
MD044867E
PA
Other
Enumeration date
09/14/2011
Last updated
02/28/2017
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