| Lonnie R Ailes, Md. Inc | |
|
1551 Sturdy Rd Valparaiso IN 46383-7883 | |
| (219) 464-1365 | |
| Not Available |
| Full Name | Lonnie R Ailes, Md. Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1551 Sturdy Rd, Valparaiso, Indiana |
| Authorized Official Name and Position | Lonnie R Ailes (PRESIDENT) |
| Authorized Official Contact | 2194641365 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lonnie R Ailes, Md. Inc 1551 Sturdy Rd Valparaiso IN 46383-7883 Ph: (219) 464-1365 | Lonnie R Ailes, Md. Inc 1551 Sturdy Rd Valparaiso IN 46383-7883 Ph: (219) 464-1365 |
| NPI Number | 1215125059 |
|---|---|
| Provider Enumeration Date | 10/05/2007 |
| Last Update Date | 01/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215125059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01026986A (Indiana) | Primary |
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