Individual
DR. LONNIE R AILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1551 STURDY RD, VALPARAISO, IN 46383-7883
(219) 464-1365
(219) 464-7815
Mailing address
1551 STURDY RD, VALPARAISO, IN 46383-7883
(219) 464-1365
(219) 464-7815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01026986A
IN
Other
Enumeration date
07/19/2005
Last updated
02/12/2014
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