Lighthouse Clinic, Inc.

NPI 1265451280 - Counselor - 101YM0800X

NPI Details
NPI 1265451280
Enumeration Date 07/19/2006
Last Updated 07/11/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name HAVA E HAVA
Position PRESIDENT
Phone (414) 964-9200
Fax (414) 964-4816
Practice Location
2577 N DOWNER AVE
SUITE 215
MILWAUKEE WI, 53211-4253, US
Phone (414) 964-9200
Fax (414) 964-4816
Business Location
2577 N DOWNER AVE
SUITE 215
MILWAUKEE WI, 53211-4253, US
Phone (414) 964-9200
Fax (414) 964-4816
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Lighthouse Clinic, Inc. NPI is 1265451280, taxonomy code is 101YM0800X Lighthouse Clinic, Inc. physically located at 2577 N Downer Ave, Milwaukee WI, 53211-4253. NPI Number 1033115704 has the healthcare provider type.

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1265451280 NPI number is provided on an as is basis without warranty of any kind. 1265451280 is maintained by the National Plan & Provider Enumeration System. The contents of Lighthouse Clinic, Inc. are for informational purposes only.