Provider Demographics
NPI:1194758409
Name:CONE, LIONEL A (MD)
Entity type:Individual
Prefix:
First Name:LIONEL
Middle Name:A
Last Name:CONE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7515 VAN NUYS BLVD
Mailing Address - Street 2:SUITE # 541 MID VALLEY COMPREHENSIVE HEALTH CENTER
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-9149
Mailing Address - Country:US
Mailing Address - Phone:818-947-4026
Mailing Address - Fax:818-989-8850
Practice Address - Street 1:7515 VAN NUYS BLVD
Practice Address - Street 2:SUITE # 541 MID VALLEY COMPREHENSIVE HEALTH CENTER
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-9149
Practice Address - Country:US
Practice Address - Phone:818-947-4026
Practice Address - Fax:818-989-8850
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CA635053208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
A91654Medicare UPIN