Graduated: 1983
NPI: 1225081532
Practice Locations (2)
IES FLORIDA PLLC
1500 LEE BLVD
LEHIGH ACRES, FL 339364835
2393692101
CONCORD MEDICAL GROUP OF KENTUCKY PLLC
210 MARIE LANGDON DR
MANCHESTER, KY 409626388
6065985104
Source: CMS National Downloadable File, September 2026.