Lisa C. Nelson, Md

LBN: Lighthouse Family Medicine, Pllc
Lisa C. Nelson, Md is an health care organization with primary practice located at 1005 Brown St , Washington NC 27889-4670. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Lighthouse Family Medicine, Pllc can be contacted via phone (252) 948-1393, or through Nelson, Lisa Carraway via phone (252) 948-1393.

Contact Information

Primary practice address
1005 Brown St Washington NC 27889-4670
Phone: (252) 948-1393
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Lisa Carraway Doctor of Medicine (MD)
Phone: (252) 948-1393

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 207-00955 North Carolina

Profile Details

NPI number 1093967408
LBN Legal business name Lighthouse Family Medicine, Pllc
DBA Doing business as Lisa C. Nelson, Md
Authorized official Nelson, Lisa Carraway Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2008
Last updated Oct 16th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093967408 NPPES
North Carolina Other 146HH BLUE CROSS
North Carolina MEDICAID 5908673 BLUE CROSS

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