Lonnie L Imlay (NPI# 1164499976, PAC ID# 9739220336) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1164499976 |
| PAC ID by PECOS | 9739220336 |
| Professional Enrollment ID | I20100105000137 |
| Full Name | Lonnie L Imlay |
| Organization Legal Name | CORWIN CLINIC SURGICAL PROFESSIONAL CORP |
| Address |
1925 E Orman Ave Suite A109 Pueblo CO 81004-3555 |
| Phone Number | 7195620210 |
| Gender | M |
| Medical School | UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES |
| Graduation Year | 1991 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 4981698958 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060012 | ST MARY CORWIN MED CTR, CENTURA HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1925 E Orman Ave, Suite A109, Pueblo, CO 81004-3555 | 7195620210 | CORWIN CLINIC SURGICAL PROFESSIONAL CORP |
| Organization Legal Name | CORWIN CLINIC SURGICAL PROFESSIONAL CORP |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary Edward Lane | General Surgery | Corwin Clinic Surgical Professional Corp | 1925 E Orman Ave, Suite A109, Pueblo, CO 81004-3555 |
| Stephen M Girard | General Surgery | Corwin Clinic Surgical Professional Corp | 1925 E Orman Ave, Suite A109, Pueblo, CO 81004-3555 |
| Street Address |
1925 E ORMAN AVE SUITE A109 |
| City | PUEBLO |
| State | CO |
| Zip | 81004-3555 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael C Saathoff | Psychiatry | Southern Colorado Psychiatric P.C. | 1925 E Orman Ave, G 12, Pueblo, CO 81004-3563 |
| James Richard Stjernholm | Internal Medicine | Heritage Internal Medicine, PC | 1925 E Orman Ave, Suite A535, Pueblo, CO 81004-3559 |
| Melchor Sipalay | Internal Medicine | Heritage Internal Medicine, PC | 1925 E Orman Ave, Suite A535, Pueblo, CO 81004-3559 |
| Stephen G Vialpando | Family Medicine | 1925 E Orman Ave, Suite A540, Pueblo, CO 81004-3559 | |
| Thomas K Gaide | Internal Medicine | Heritage Internal Medicine, PC | 1925 E Orman Ave, Suite A535, Pueblo, CO 81004-3559 |
| Kim K Dernovsek | Dermatology | Dermatology and Endocrinology LLC | 1925 E Orman Ave, Suite 115, Pueblo, CO 81004-3500 |
| Antonio Feliz | Urology | 1925 E Orman Ave, A340, Pueblo, CO 81004-3571 | |
| Elsie Kathrine Haynes | Family Medicine | Corwin Clinic Family Medicine Pllc | 1925 E Orman Ave, Suite A109, Pueblo, CO 81004-3555 |
| Stephanie Katherine Lucas | Internal Medicine | Heritage Internal Medicine, PC | 1925 E Orman Ave, Suite A535, Pueblo, CO 81004-3559 |
| Andrea Sciammarella | Psychiatry | Southern Colorado Psychiatric P.C. | 1925 E Orman Ave, G 12, Pueblo, CO 81004-3563 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda J Mcbride-wilson | Nurse Practitioner | Health Solutions | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 |
| Teresa J Marshall | Psychologist, Clinical | 635 W Corona Ave, Suite 203, Pueblo, CO 81004-1210 | |
| Lynne M Evetts | Nurse Practitioner | Pueblo Community Health Center Inc. | 900 W Orman Ave, Rm Mt118, Pueblo, CO 81004-1430 |
| Carly A Lacroix | Osteopathic Manipulative Medicine | Pueblo Community Health Center Inc. | 900 W Orman Ave, Rm Mt118, Pueblo, CO 81004-1430 |
| Jill Pollock | Psychologist, Clinical | Pueblo Community Health Center Inc. | 900 W Orman Ave, Rm Mt118, Pueblo, CO 81004-1430 |
| Stephanie D Bellah | Chiropractic | 824 W Abriendo Ave, Pueblo, CO 81004-1547 | |
| Scott C Cuthbert | Chiropractic | 255 W Abriendo Ave, Pueblo, CO 81004-1870 | |
| Michael Rosen Pyros | Chiropractic | Chiropractic Health Center PC | 255 W Abriendo Ave, Pueblo, CO 81004-1870 |
| Kimberly Coffman | Clinical Social Worker | A New Leaf Therapy LLC | 327 Colorado Ave, Pueblo, CO 81004-2005 |
| Robert J Graham | Chiropractic | Young and Graham, P.C. | 301 Colorado Ave, Pueblo, CO 81004-2005 |
| Find all physicians in zip 81004 | |||
| City | PUEBLO |
| Zip Code | 81004 |
| Specialty | GENERAL SURGERY |
| City + Specialty | PUEBLO + GENERAL SURGERY |
Please comment or provide details below to improve the information on Lonnie L Imlay.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.