LEE M PERIOLAT

VALPARAISO, IN
NPI1417974072
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IN  01026484)
Enumeration Date2006-07-17
Last Update Date2020-11-25
Business Address
LEE M PERIOLAT MD
601 WALL ST
VALPARAISO, IN 46383-2512
Phone number: 219-531-3662
Mailing Address
LEE M PERIOLAT MD
601 WALL ST
VALPARAISO, IN 46383-2512
Phone number: 219-531-3662