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Organization
ELIZABETH S. MATEOS-TIONGCO
Active
Organization
ELIZABETH S. MATEOS-TIONGCO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH SANCHEZ MATEOS M.D. (OWNER)
(812) 659-2030
Entity
Organization
Contact information
Practice address
195 E BROAD ST, LYONS, IN 47443-9502
(812) 659-2030
(812) 659-7601
Mailing address
PO BOX 236, LYONS, IN 47443-0236
(812) 659-2030
(812) 659-7601
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01033055A
IN
207V00000X
Obstetrics & Gynecology Physician
01033055B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000084916
BCBS
IN
05
—
100124750A
—
IN
01
—
160025634
RAILROAD MED
IN
01
—
1790783637
COMMERICAL
IN
Enumeration date
10/10/2011
Last updated
10/10/2011
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