Lighthouse Medical Supply, LLC
NPI #1679650907 in Middletown, Connecticut
Provider Information
- NPI Number
- 1679650907
- Entity Type
- Organization
- Organization Name
- Lighthouse Medical Supply, LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 245 LONG HILL RD
- City
- Middletown
- State
- Connecticut
- ZIP Code
- 06457-4063
- Phone
- (866) 633-0005
Authorized Official
- Name
- MR. BARRY E O'DOUGHERTY
- Title
- AUTHORIZED OFFICIAL - PRESIDENT
- Phone
- (203) 575-1401
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition |
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