Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | 150132-00 | MI |
NPI | 1952656464 |
---|---|
Provider Name | Lloyd M Starks |
First Address | Hancock, MI 49930-1872 |
Second Address | Hancock, MI 49930-1872 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2012 |
Last Update Date | 20/07/2012 |