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1164499976
LONNIE L IMLAY
PUEBLO, CO
NPI
1164499976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: CO 44366)
Additional Taxonomies
208600000X Surgery
(Licence: IA 29224)
Enumeration Date
2006-03-01
Last Update Date
2013-01-28
Business Address
Dr. LONNIE L IMLAY M.D.
1925 E. ORMAN AVE. SUITE A109
PUEBLO, CO 81004
Phone number: 719-564-0210
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Mailing Address
Dr. LONNIE L IMLAY M.D.
1925 E. ORMAN AVE. SUITE A109
PUEBLO, CO 81004
Phone number: 719-564-0210
Copy
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