Individual
GEORGE LOLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5330 E STOP 11 RD, INDIANAPOLIS, IN 46237-6345
(317) 893-1900
(317) 893-1901
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01083336A
IN
207R00000X
Internal Medicine Physician
R3260
KY
207RC0000X
Cardiovascular Disease Physician
Primary
01083336A
IN
207RC0000X
Cardiovascular Disease Physician
11062878-1205
UT
Other
Enumeration date
05/15/2013
Last updated
05/16/2023
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