Graduated: 2016
NPI: 1639627110
Practice Locations (2)
LIGHTHOUSE CLINIC LLC
2524 E WEBSTER PL
MILWAUKEE, WI 532114257
4149649200
LIGHTHOUSE CLINIC LLC
2524 E WEBSTER PL, SUITE 203
MILWAUKEE, WI 532114257
4149649200
Source: CMS National Downloadable File, September 2026.