Male or Other

Mr. Lonnie D. Roberts

Home Modifications Contractor in South Bend, IN(View on Map)

Full Name

Mr. Lonnie D Roberts

NPI Number

1437395571

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/19/2008

Specialties

(Taxonomies)

Code

171WH0202X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

19816 ADAMS RD
19816 ADAMS RD

City

South Bend
South Bend

State

IN
IN

Postal Code

46637
46637-1620

Country

US
US

Telephone Number

(574) 273-2343
(574) 273-2343

Identifiers

Identifier

200888720A

Identifier State

IN

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/19/2008

Provider Address