Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lighthouse Family Medicine and Wellness PLLC

Organization Family Medicine Physician · NPI 1164003752

Lighthouse Family Medicine and Wellness PLLC is a Family Medicine Physician 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
Show map & directions

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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