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1023718202
LIGHTHOUSE MEDICAL LLC
SHREVEPORT, LA
NPI
1023718202
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Entity Type
Organization
Authorized Contact
AHMED VIRANI
Owner
832-858-8058
Organization Subpart ?
No
Primary Taxonomy
207RC0200X Internal Medicine, Critical Care Medicine
Enumeration Date
2023-03-07
Last Update Date
2023-03-07
Business Address
LIGHTHOUSE MEDICAL LLC
1800 IRVING PL
SHREVEPORT, LA 71101-4608
Phone number: 318-425-4096
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Mailing Address
LIGHTHOUSE MEDICAL LLC
8455 FERN AVE APT 1406
SHREVEPORT, LA 71105-5785
Phone number:
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