NPI 1417974072

Lee M Periolat, MD

Practitioner Psychiatry Physician Valparaiso, IN

Practice location

Address: 601 Wall St, Valparaiso, IN 46383-2512
Phone: (219) 531-3662

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 01026484 (IN)

Other Psychiatry & Neurology providers in Indiana →

Registry record

NPI: 1417974072
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jul 2006
Record last updated: 25 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.