| Lighthouse Internal Medicine P.A. | |
|
909 Lakeview Ave Milford DE 19963-1731 | |
| (302) 422-5506 | |
| (302) 422-5507 |
| Full Name | Lighthouse Internal Medicine P.A. |
|---|---|
| Speciality | Internal Medicine |
| Location | 909 Lakeview Ave, Milford, Delaware |
| Authorized Official Name and Position | Josie Walters (OFFICE MANAGER) |
| Authorized Official Contact | 3024225506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Internal Medicine P.A. 909 Lakeview Ave Milford DE 19963-1731 Ph: (302) 422-5506 | Lighthouse Internal Medicine P.A. 909 Lakeview Ave Milford DE 19963-1731 Ph: (302) 422-5506 |
| NPI Number | 1417903048 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 06/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417903048 | NPI | - | NPPES |
| 1000036273 | Other | DE | DELAWARE PHYSICIANS CARE |
| DD5833 | Other | DE | RAIL ROAD MEDICARE |
| 1000036273 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | C100006175 (Delaware) | Primary |
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