Lonnie R Ailes, Md. Inc | |
1551 Sturdy Rd Valparaiso IN 46383-7883 | |
(219) 464-1365 | |
Not Available |
Full Name | Lonnie R Ailes, Md. Inc |
---|---|
Speciality | Family Medicine |
Location | 1551 Sturdy Rd, Valparaiso, Indiana |
Authorized Official Name and Position | Lonnie R Ailes (PRESIDENT) |
Authorized Official Contact | 2194641365 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lonnie R Ailes, Md. Inc 1551 Sturdy Rd Valparaiso IN 46383-7883 Ph: (219) 464-1365 | Lonnie R Ailes, Md. Inc 1551 Sturdy Rd Valparaiso IN 46383-7883 Ph: (219) 464-1365 |
NPI Number | 1215125059 |
---|---|
Provider Enumeration Date | 10/05/2007 |
Last Update Date | 01/14/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215125059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01026986A (Indiana) | Primary |
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