Organization
LIGHTHOUSE FAMILY MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH C. TURGEON M.D. (PHYSICIAN/OWNER)
(907) 376-5337
Entity
Organization
Contact information
Practice address
290 N WILLOW ST, WASILLA, AK 99654-7042
(907) 376-5337
Mailing address
3061 N LAZY EIGHT CT, WASILLA, AK 99654-4319
(907) 376-5337
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4174
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD06704
—
AK
05
—
MDG415
—
AK
Enumeration date
05/17/2006
Last updated
03/27/2014
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