Lighthouse Complex Care Of Delaware Inc | |
2500 Grubb Rd Ste 123 Wilmington DE 19810-4711 | |
(302) 304-3417 | |
(302) 467-2474 |
Full Name | Lighthouse Complex Care Of Delaware Inc |
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Speciality | Clinic/Center |
Location | 2500 Grubb Rd Ste 123, Wilmington, Delaware |
Authorized Official Name and Position | Meera Manickam (OWNER) |
Authorized Official Contact | 3027401347 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lighthouse Complex Care Of Delaware Inc 2500 Grubb Rd Ste 123 Wilmington DE 19810-4711 Ph: (302) 304-3417 | Lighthouse Complex Care Of Delaware Inc 2500 Grubb Rd Ste 123 Wilmington DE 19810-4711 Ph: (302) 304-3417 |
NPI Number | 1720797251 |
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Provider Enumeration Date | 11/23/2022 |
Last Update Date | 04/02/2024 |
Medicare PECOS PAC ID | 5597127373 |
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Medicare Enrollment ID | O20230810001356 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720797251 | NPI | - | NPPES |
Provider Name | Monica Cooke |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699379784 PECOS PAC ID: 7315352010 Enrollment ID: I20210210001181 |
Provider Name | Dane Fliedner |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1164568655 PECOS PAC ID: 1355536863 Enrollment ID: I20230905000237 |
Provider Name | Kathleen Mcewen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902827454 PECOS PAC ID: 0648362491 Enrollment ID: I20231026000059 |
Provider Name | Sapna Muragali |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881973279 PECOS PAC ID: 3072731470 Enrollment ID: I20231220001686 |
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