Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 43398 | MA |
NPI | 1033211164 |
---|---|
Provider Name | William Lloyd |
First Address | Salem, MA 01970-2711 |
Second Address | Salem, MA 01970 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2006 |
Last Update Date | 16/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0131962 | (05) | MA |
D94057 | (02) |