Organization
LIGHTHOUSE SURGERY CENTER, LLC
Active
Other names
Lighthouse Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL EDWARD JOYCE MD (PRESIDENT/CEO)
(860) 714-3939
Entity
Organization
Contact information
Practice address
129 WOODLAND ST, HARTFORD, CT 06105-1218
(860) 714-3939
Mailing address
129 WOODLAND ST, HARTFORD, CT 06105-1218
(860) 714-4093
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Enumeration date
07/18/2019
Last updated
07/08/2021
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