Organization
LIGHTHOUSE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH B STEELE (DIRECTOR OF BILLING)
(814) 943-1272
Entity
Organization
Contact information
Practice address
601 N FRONT ST, SUITE B, PHILIPSBURG, PA 16866-2303
(814) 342-2333
(814) 940-8516
Mailing address
300 E WALNUT AVE, ALTOONA, PA 16601-5210
(814) 943-1272
(814) 940-8516
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD044867E
PA
208VP0014X
Interventional Pain Medicine Physician
MD044867E
PA
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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