Organization
LONNIE R AILES, MD. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LONNIE R AILES MD (PRESIDENT)
(219) 464-1365
Entity
Organization
Contact information
Practice address
1551 STURDY RD, VALPARAISO, IN 46383-7883
(219) 464-1365
Mailing address
1551 STURDY RD, VALPARAISO, IN 46383-7883
(219) 464-1365
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01026986A
IN
Other
Enumeration date
10/05/2007
Last updated
01/14/2014
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