LIGHTHOUSE FOOT AND ANKLE CENTER PC NPI 1578646782

NPI Information

NPI: 1578646782
Provider Name: LIGHTHOUSE FOOT AND ANKLE CENTER PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
23 SPRING ST
SUITE B
SCARBOROUGH, ME
ZIP 04074
Phone: (207) 774-0028
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LIGHTHOUSE FOOT AND ANKLE CENTER PC is a foot and ankle surgery podiatrist in Scarborough, ME. LIGHTHOUSE FOOT AND ANKLE CENTER PC NPI is 1578646782. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

23 SPRING ST
SUITE B
SCARBOROUGH, ME
ZIP 04074-701
Phone: (207) 774-0028
Fax: (207) 774-0063

The provider's authorized official is Michele N. Kurlanski .
The authorized official title is Doctor and has the following contact phone number (207) 774-0028.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 7/31/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	1047	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U71993	MEDICARE UPIN	MAINE
2	5351860001	MEDICARE NSC	MAINE
3	U71993	OTHER	MAINE	HARVARD PILGRIM
4	7335092	OTHER	MAINE	AETNA
5	292820000	MEDICAID	MAINE
6	048047	OTHER	MAINE	ANTHEM
7	LX5394	MEDICARE PIN	MAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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