Organization Name: | LIGHTHOUSE MEDICAL LLC |
NPI Number: | 1841547809 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SARAH STEELE (DIRECTOR OF BILLING) |
Mailing Address: | 217 Glenn St Fourth Floor Cumberland |
State: | MD US |
Postal Code: | 215022460 |
Phone Number: | 3017227246 |
Fax Number: | 3017772624 |
NPI Enumeration Date: | 08/09/2012 |
NPI Last Update Date: | 08/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | D0073183 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |