| Doctor Name: | MRS. HOLLY ELIZABETH RAIMONDI |
| NPI Number: | 1093710105 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 10000619A |
| Business Practice Address: | 1400 S Lake Park Ave Ste 200 Hobart, IN - 463426791 |
| Business Phone Number: | 2199476122 |
| Business Fax Number: | 2199476045 |
| Mailing Address: | 1400 S Lake Park Ave, Ste 200 HOBART |
| State: | IN |
| Postal Code: | 463426791 |
| Phone Number: | 2199476122 |
| Fax Number: | 2199476045 |
| NPI Enumeration Date: | 06/15/2005 |
| NPI Last Update Date: | 06/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 10000619A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |