| Doctor Name: | THEODORE TOWLES LLANSO |
| NPI Number: | 1518926161 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 01055363A |
| Business Practice Address: | Friedberg Health Clinic Cmr 453 Apo, AE - 09074 |
| Business Phone Number: | 49+06031018-3204 |
| Business Fax Number: | |
| Mailing Address: | Aatn: Credentials Office, Cmr 442 APO |
| State: | AE |
| Postal Code: | 09042 |
| Phone Number: | 49+6221-17-2274 |
| Fax Number: | |
| NPI Enumeration Date: | 03/22/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01055363A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |