NPI 1306184858
Lighthouse Medical, LLC
Practice location
- Address
- 301 E. Pleasant Valley Blvd, Altoona, PA 16602
- Phone
- (814) 944-5835
- Fax
- (814) 944-9184
- Mailing address
- 311 E. Pleasant Valley Blvd., Altoona, PA 16602
Authorised official
- Name
- John H. Johnson
- Title
- Ceo/Owner
- Phone
- (814) 943-1271
Registered specialties (2)
Pain Medicine (Anesthesiology) Physician
Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Registry record
- NPI
- 1306184858
- Entity type
- Organization
- NPI issued
- 17 Jan 2013
- Record last updated
- 28 Feb 2017
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.