Organization
LIGHTHOUSE MEDICAL LLC
Active
Other names
Lighthouse Medical 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
217 GLENN ST, SUITE 401, CUMBERLAND, MD 21502-2460
(301) 722-7246
(301) 777-2624
Mailing address
311 E. PLEASANT VALLEY BLVD., ALTOONA, PA 16602
(814) 943-1271
(814) 940-8516
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD044867E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3366359 00
—
MD
01
—
Y925
CAREFIST BC/BS
MD
Enumeration date
04/17/2011
Last updated
02/28/2017
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