Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 5101007566 | MI |
NPI | 1003806019 |
---|---|
Provider Name | Dr. Dennis M Lloyd |
First Address | Flint, MI 48532-3638 |
Second Address | Flushing, MI 48433-9426 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0152507194 | BLUE CROSS BLUE SHIELD (01) | MI |
16718 | MCARE (01) | MI |
204410 | HEALTH ADVANTAGE NETWORK (01) | MI |
204410 | MCLAREN HEALTH PLAN (01) | MI |
4008827 | CIGNA (01) | MI |
4250397 | AETNA (01) | MI |
4535656 | (05) | MI |
58L58850 | HEALTH PLUS (01) | MI |
E25708 | (02) | MI |
E25708 | HEALTH ALLIANCE PLAN (01) | MI |
E25708 | HEALTH NET FEDERAL (01) | MI |