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General NPI Number Information
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NPI Number | 1164397485
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Entity Type | Organization
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Legal Business Name | LIGHTHOUSE FAMILY MEDICINE INC
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 851 E WESTPOINT DRIVE SUITE B1-5
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City | WASILLA
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State | AK
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Zip | 99654
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Country | US
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Telephone | 907-357-5483
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Fax | 907-357-5484
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Provider Business Mailing Address
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Address Line | 2015 E STALLION CIRCLE
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City | WASILLA
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State | AK
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Zip | 99654
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Country | US
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Telephone | 907-290-1095
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Fax | 907-357-5484
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ELIZABETH CATHERINE TURGEON
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Credential | MS
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Telephone | 907-290-1095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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