| NPI | 1780710319 |
|---|---|
| Doing Business As | LIGHTHOUSE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | LINDA S. DONOVAN Pediatric Nurse Practitioner 512-528-9996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 629991) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2010-04-05 |