| NPI | 1992700330 |
|---|---|
| Other Name | LONNIE E PAULOS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: UT 157061-8905) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: NV 5107) |
| 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: FL ME102290) | |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2012-05-04 |