Lighthouse Diabetes Center
Nurse Practitioner, Adult Health in York, ME. Organization (NPI-2).
NPI number1104786151
StatusActive
Last updated in NPPESNov 13, 2025
Details
- NPI
- 1104786151
- Entity type
- Organization (NPI-2)
- Legal business name
- Lighthouse Diabetes Center
- Organization subpart
- No
- Enumeration date
- Nov 13, 2025
- Certification date
- Nov 13, 2025
- Last updated
- Nov 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | – | – | Yes |
Practice location
26 Mallard DrYork, ME 03909-1361
Phone 207-814-8718
Mailing address
26 Mallard DrYork, ME 03909-1361
Phone 207-814-8718
Authorized official
Emily Appleton
Physician Assistant
6316642112
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