# LONNIE R AILES, MD. INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215125059
- **Authorized official:** DR. LONNIE R AILES MD (PRESIDENT)
- **Authorized official phone:** (219) 464-1365

## Contact information

- **Practice address:** 1551 STURDY RD, VALPARAISO, IN 46383-7883
- **Practice address phone:** (219) 464-1365
- **Mailing address:** 1551 STURDY RD, VALPARAISO, IN 46383-7883
- **Mailing address phone:** (219) 464-1365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01026986A | IN | Yes |

## Other

- **Enumeration date:** 10/05/2007
- **Last updated:** 01/14/2014