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NPI 1801768197

NPI 1801768197 : LIGHTHOUSE FAMILY MEDICINE, INC : WASILLA, AK

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General NPI Number Information
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    NPI Number           |    1801768197
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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     |    09/18/2025
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    Last Update Date     |    09/18/2025
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Provider Practice Location Address
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    Address Line         |    851 E WESTPOINT DR STE B1-5 
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    City                 |    WASILLA
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    State                |    AK
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    Zip                  |    99654-7191
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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 CIR 
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    City                 |    WASILLA
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    State                |    AK
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    Zip                  |    99654-3564
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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    |    PRESIDENT/PROVIDER
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    Name                 |    DR. ELIZABETH CATHARINE TURGEON 
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    Credential           |    MD
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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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