Imlay, Lonnie L

Imlay, Lonnie L is an individual health care provider with primary practice located at 1925 E. Orman Ave. Suite A109, Pueblo CO 81004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Imlay, Lonnie L can be contacted via phone (719) 564-0210.

Contact Information

Primary practice address
1925 E. Orman Ave. Suite A109 Pueblo CO 81004
Phone: (719) 564-0210
Fax: (719) 564-9483
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 29224 Iowa
Allopathic & Osteopathic Physicians / Surgery 208600000X 44366 Colorado

Profile Details

NPI number 1164499976
LBN Legal business name Imlay, Lonnie L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jan 28th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164499976 NPPES
Colorado MEDICAID 45707731

Popular Providers