Lighthouse Family Medicine, Inc | |
290 N Willow St Wasilla AK 99654-7042 | |
(907) 376-5337 | |
Not Available |
Full Name | Lighthouse Family Medicine, Inc |
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Speciality | Family Medicine |
Location | 290 N Willow St, Wasilla, Alaska |
Authorized Official Name and Position | Elizabeth C. Turgeon (PHYSICIAN/OWNER) |
Authorized Official Contact | 9073765337 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lighthouse Family Medicine, Inc 3061 N Lazy Eight Ct Wasilla AK 99654-4319 Ph: (907) 376-5337 | Lighthouse Family Medicine, Inc 290 N Willow St Wasilla AK 99654-7042 Ph: (907) 376-5337 |
NPI Number | 1821040999 |
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Provider Enumeration Date | 05/17/2006 |
Last Update Date | 03/27/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821040999 | NPI | - | NPPES |
MDG415 | Medicaid | AK | |
MD06704 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4174 (Alaska) | Primary |
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