Provider Demographics
NPI:1013277730
Name:LIGHTHOUSE EDUCATION AND RESOURCE NETWORK LERN
Entity Type:Organization
Organization Name:LIGHTHOUSE EDUCATION AND RESOURCE NETWORK LERN
Other - Org Name:LIGHTHOUSE NETWORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER, EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:
Authorized Official - Last Name:BENZIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-630-8846
Mailing Address - Street 1:800 W STATE ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2250
Mailing Address - Country:US
Mailing Address - Phone:215-630-8846
Mailing Address - Fax:215-340-4858
Practice Address - Street 1:800 W STATE ST
Practice Address - Street 2:SUITE 302
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2250
Practice Address - Country:US
Practice Address - Phone:215-630-8846
Practice Address - Fax:215-340-4858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-29
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable