Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | G025948 | CA |
NPI | 1033145941 |
---|---|
Provider Name | Dr. Stewart Alan Lonky |
First Address | Los Angeles, CA 90045-3807 |
Second Address | Los Angeles, CA 90045-3807 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 25/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
W15809 | (02) | CA |