Provider Demographics
NPI:1801768197
Name:LIGHTHOUSE FAMILY MEDICINE, INC
Entity type:Organization
Organization Name:LIGHTHOUSE FAMILY MEDICINE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:CATHARINE
Authorized Official - Last Name:TURGEON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:907-290-1095
Mailing Address - Street 1:2015 E STALLION CIR
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-3564
Mailing Address - Country:US
Mailing Address - Phone:907-290-1095
Mailing Address - Fax:907-357-5484
Practice Address - Street 1:851 E WESTPOINT DR STE B1-5
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-7191
Practice Address - Country:US
Practice Address - Phone:907-357-5483
Practice Address - Fax:907-357-5484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty