| Lighthouse Primary Care Services, Llc | |
|
1173 Beacon Ave Suite B Manahawkin NJ 08050-2420 | |
| (609) 597-5636 | |
| (609) 597-5631 |
| Full Name | Lighthouse Primary Care Services, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1173 Beacon Ave, Manahawkin, New Jersey |
| Authorized Official Name and Position | Julie D. Lambert (OWNER/PRACTITIONER) |
| Authorized Official Contact | 6095975636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Primary Care Services, Llc 282 Lighthouse Dr Manahawkin NJ 08050-2530 Ph: (609) 597-5636 | Lighthouse Primary Care Services, Llc 1173 Beacon Ave Suite B Manahawkin NJ 08050-2420 Ph: (609) 597-5636 |
| NPI Number | 1912236068 |
|---|---|
| Provider Enumeration Date | 12/21/2009 |
| Last Update Date | 12/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912236068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 26NJ00071700 (New Jersey) | Primary |
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