Lighthouse Community Support

NPI #1568280592 in Dover, Delaware

Provider Information

NPI Number
1568280592
Entity Type
Organization
Organization Name
Lighthouse Community Support
Primary Specialty
Nurse Practitioner
Enumeration Date
Sep 30, 2024
Last Updated
Sep 30, 2024

Practice Location

Address
600 W DIVISION ST UNIT B
City
Dover
ZIP Code
19904-2702
Phone
(267) 815-4350

Authorized Official

Name
DAESHA L PITTS, CPC
Title
OFFICE MANGER
Phone
(302) 883-7787

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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