Organization
LIGHTHOUSE HEALTH CLINIC
Active
Organization
LIGHTHOUSE HEALTH CLINIC
Active
Other names
Lighthouse Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA S. DONOVAN CPNP (PEDIATRIC NURSE PRACTITIONER)
(512) 528-9996
Entity
Organization
Contact information
Practice address
601 E WHITESTONE BLVD, SUITE 308, CEDAR PARK, TX 78613-9015
(512) 528-9996
(512) 528-9070
Mailing address
601 E WHITESTONE BLVD, SUITE 308, CEDAR PARK, TX 78613-9015
(512) 528-9996
(512) 528-9070
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
629991
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02468
PRESCRIPTIVE AUTHORITY #
TX
01
—
629991
ADVANCED PRACTICE NURSE
TX
01
—
98261
NATIONAL CERTIFICATION PN
TX
Enumeration date
02/26/2007
Last updated
04/05/2010
Update your record
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