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Organization

LIGHTHOUSE COMPLEX CARE OF DELAWARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MEERA MANICKAM (OWNER)
(302) 740-1347
Entity
Organization

Contact information

Practice address
2500 GRUBB RD STE 123, WILMINGTON, DE 19810-4711
(302) 304-3417
(302) 467-2474
Mailing address
2500 GRUBB RD STE 123, WILMINGTON, DE 19810-4711
(302) 304-3417
(302) 467-2474

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
208000000X
Pediatrics Physician
2084P0800X
Psychiatry Physician
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
11/23/2022
Last updated
04/02/2024
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