Lighthouse Family Practice

NPI #1881769461 in Lavonia, Georgia

Provider Information

NPI Number: 1881769461
Entity Type: Organization
Organization Name: Lighthouse Family Practice
Primary Specialty: Family Medicine
Enumeration Date: Nov 21, 2006
Last Updated: Jun 14, 2016

Practice Location

Address: 12134 AUGUSTA RD
Address 2: STE A
City: Lavonia
State: Georgia
ZIP Code: 30553-1208
Phone: (706) 377-3349

Authorized Official

Name: PAUL E RABER, DO
Title: OWNER PHYSICIAN
Phone: (706) 377-3349

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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