| NPI | 1699290288 |
|---|---|
| Doing Business As | LIGHTHOUSE ADULT HEALTH |
| Entity Type | Organization |
| Authorized Contact | ARGELIA DIAZ Adult Nurse Practitioner 631-278-3452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2018-06-16 |