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1164003752
LIGHTHOUSE FAMILY MEDICINE AND WELLNESS PLLC
LANSDOWNE, VA
NPI
1164003752
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Entity Type
Organization
Authorized Contact
OLUFUNMILOLA M OGBONLOWO
Physician
571-293-2424
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2021-04-15
Last Update Date
2021-11-30
Business Address
LIGHTHOUSE FAMILY MEDICINE AND WELLNESS PLLC
19465 DEERFIELD AVE STE 309
LANSDOWNE, VA 20176-1705
Phone number: 571-293-2424
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Mailing Address
LIGHTHOUSE FAMILY MEDICINE AND WELLNESS PLLC
19465 DEERFIELD AVE STE 309
LANSDOWNE, VA 20176-1705
Phone number: 571-293-2424
Copy
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