Individual
DR. LONNIE L IMLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 COCHRANE CIR UNIT MEDDAC, FT CARSON, CO 80913-4604
(719) 524-4166
(719) 524-4183
Mailing address
1650 COCHRANE CIR UNIT MEDDAC, FT CARSON, CO 80913-4604
(719) 524-4166
(719) 524-4183
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
29224
IA
208600000X
Surgery Physician
Primary
44366
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45707731
—
CO
Enumeration date
03/01/2006
Last updated
02/21/2025
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