| Lighthouse Clinic Pllc | |
|
29556 Southfield Rd Suite 107 Southfield MI 48076-2021 | |
| (248) 663-6582 | |
| Not Available |
| Full Name | Lighthouse Clinic Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 29556 Southfield Rd, Southfield, Michigan |
| Authorized Official Name and Position | Oronde White (OWNER) |
| Authorized Official Contact | 2486636582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Clinic Pllc 29556 Southfield Rd Southfield MI 48076-2021 Ph: (248) 663-6582 | Lighthouse Clinic Pllc 29556 Southfield Rd Suite 107 Southfield MI 48076-2021 Ph: (248) 663-6582 |
| NPI Number | 1376577981 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 03/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376577981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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