Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lighthouse Family Medicine and Wellness PLLC

Organization Family Medicine Physician · NPI 1164003752

Lighthouse Family Medicine and Wellness PLLC provides Family Medicine Physician services in Lansdowne, Virginia. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19440 Golf Vista Plz Ste 120
Lansdowne, VA 20176-8264
Phone: (571) 293-2424
Fax: (833) 913-2348
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1164003752
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olufunmilola Ogbonlowo — Physician · (571) 293-2424
NPI enumeratedApril 15, 2021
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025
Mailing address19440 Golf Vista Plz Ste 120, Lansdowne, VA 20176-8264

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