NPI 1023718202
Lighthouse Medical LLC
Practice location
- Address
- 1800 Irving Pl, Shreveport, LA 71101-4608
- Phone
- (318) 425-4096
- Mailing address
- 8455 Fern Ave APT 1406, Shreveport, LA 71105-5785
Authorised official
- Name
- Ahmed Virani
- Title
- Owner
- Phone
- (832) 858-8058
Registered specialties
Critical Care Medicine (Internal Medicine) Physician
Primary
Registry record
- NPI
- 1023718202
- Entity type
- Organization
- NPI issued
- 7 Mar 2023
- Record last updated
- 7 Mar 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.