Individual
DR. LON ALLEN SPROLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
175 W 12TH ST APT 4D, NEW YORK, NY 10011-8208
(214) 938-7088
Mailing address
3 CENTURY DRIVE, PARSIPPANY, NJ 07054
(214) 938-7088
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MB09944900
NJ
207P00000X
Emergency Medicine Physician
2850541
NY
207P00000X
Emergency Medicine Physician
325880
LA
207P00000X
Emergency Medicine Physician
Primary
DO3786
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04494771
—
NY
Enumeration date
04/04/2013
Last updated
04/17/2025
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