Individual
MRS. HOLLY ELIZABETH RAIMONDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 S LAKE PARK AVE, STE 200, HOBART, IN 46342-6791
(219) 947-6122
(219) 947-6045
Mailing address
1400 S LAKE PARK AVE, STE 200, HOBART, IN 46342-6791
(219) 947-6122
(219) 947-6045
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10000619A
IN
Other
Enumeration date
06/15/2005
Last updated
06/16/2011
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