Lonnie R Ailes, Md. Inc

NPI 1215125059 - Family Medicine - 207Q00000X

NPI Details
NPI 1215125059
Enumeration Date 10/05/2007
Last Updated 01/14/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LONNIE R LONNIE
Position PRESIDENT
Phone (219) 464-1365
Fax
Practice Location
1551 STURDY RD
VALPARAISO IN, 46383-7883, US
Phone (219) 464-1365
Fax
Business Location
1551 STURDY RD
VALPARAISO IN, 46383-7883, US
Phone (219) 464-1365
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Indiana
License Number 01026986A
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According to our database, Lonnie R Ailes, Md. Inc NPI is 1215125059, taxonomy code is 207Q00000X and license number is 01026986A, license state is located at Indiana. Lonnie R Ailes, Md. Inc physically located at 1551 Sturdy Rd, Valparaiso IN, 46383-7883. NPI Number 1033115704 has the healthcare provider type.

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1215125059 NPI number is provided on an as is basis without warranty of any kind. 1215125059 is maintained by the National Plan & Provider Enumeration System. The contents of Lonnie R Ailes, Md. Inc are for informational purposes only.