Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | FF32 | MN |
NPI | 1194826339 |
---|---|
Provider Name | Patrick Mose Lloyd |
First Address | Minneapolis, MN 55455-0357 |
Second Address | Minneapolis, MN 55455-0356 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 15/08/2007 |