Dr. Ian Michael Lonergan
Surgeon Family Doctor General Practice Physician Plastic and Reconstructive Surgery
1600 Pennsylvania Ave
Wilmington
, Delaware 19806-4047
Dr. Ian Michael Lonergan
Surgeon Family Doctor General Practice Physician Plastic and Reconstructive Surgery
1600 Pennsylvania Ave
Wilmington
, Delaware 19806-4047
(877) 284-8933
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About
Features
Specialties
- Family Doctor
- Surgeon
- Plastic and Reconstructive Surgery
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Ian Michael Lonergan
- 1600 Pennsylvania Ave
- Wilmington, DE
- Zip : 19806-4047
- Fax : (877) 284-8933
- Phone : (302) 656-0214
Second Address
- Dr. Ian Michael Lonergan
- 1600 Pennsylvania Ave
- Wilmington, DE
- Zip : 19806-4047
- Fax : (877) 284-8933
- Phone : (302) 656-0214
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | C20008811 | DE |
| N | 208200000X | Surgeon | 5101017079 | MI |
| N | 208600000X | Surgeon | 5101017079 | MI |
| Y | 2086S0122X | Plastic and Reconstructive Surgery | C20008811 | DE |
| N | 208D00000X | General Practice Physician | C20008811 | DE |
National Provider Identifier
| NPI | 1174795744 |
|---|---|
| Provider Name | Dr. Ian Michael Lonergan |
| First Address | Wilmington, DE 19806-4047 |
| Second Address | Wilmington, DE 19806-4047 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/03/2008 |
| Last Update Date | 22/04/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 136323YABT | MEDICARE ID (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.