Individual
LEE M PERIOLAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 WALL ST, VALPARAISO, IN 46383-2512
(219) 531-3662
Mailing address
601 WALL ST, VALPARAISO, IN 46383-2512
(219) 531-3662
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01026484
IN
Other
Enumeration date
07/17/2006
Last updated
11/25/2020
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