Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | MD041544L | PA |
NPI | 1164680906 |
---|---|
Provider Name | Dr. George Thomas Lloyd |
First Address | Butler, PA 16001-6024 |
Second Address | Butler, PA 16001-6024 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2008 |
Last Update Date | 10/01/2011 |