| NPI | 1841580495 |
|---|---|
| Doing Business As | LIGHTHOUSE MEDICAL PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | JOHN H. JOHNSON CEO/Owner 814-943-1271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD044867E) |
| Enumeration Date | 2011-04-17 |
| Last Update Date | 2017-02-28 |