| NPI | 1023872827 |
|---|---|
| Other Name | LIGHTHOUSE PRIMARY CARE, LLC |
| Entity Type | Organization |
| Authorized Contact | SANDRA EGGLESTON Dnp, Ap RN, Fnp C 302-674-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-08-16 |