Lighthouse Professional Clinic, P.c. | |
409 W Ludington Ave Ste 307 Ludington MI 49431-2377 | |
(231) 843-8877 | |
(231) 845-0264 |
Full Name | Lighthouse Professional Clinic, P.c. |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 409 W Ludington Ave Ste 307, Ludington, Michigan |
Authorized Official Name and Position | Stanley L Seuferer (OWNER) |
Authorized Official Contact | 2318438877 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lighthouse Professional Clinic, P.c. 409 W Ludington Ave Ste 307 Ludington MI 49431-2377 Ph: (231) 843-8877 | Lighthouse Professional Clinic, P.c. 409 W Ludington Ave Ste 307 Ludington MI 49431-2377 Ph: (231) 843-8877 |
NPI Number | 1407902109 |
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Provider Enumeration Date | 01/26/2007 |
Last Update Date | 06/05/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407902109 | NPI | - | NPPES |
100E310320 | Other | MI | BLUE CROSS BLUE SHIELD |
100E361760 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
800E310020 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (Michigan) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | (Michigan) | Primary |
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