Provider Demographics
NPI:1003806019
Name:LLOYD, DENNIS M (DO)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:M
Last Name:LLOYD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:401 S BALLENGER HWY
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3638
Mailing Address - Country:US
Mailing Address - Phone:810-342-1009
Mailing Address - Fax:810-342-1590
Practice Address - Street 1:2487 N ELMS RD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:MI
Practice Address - Zip Code:48433-9426
Practice Address - Country:US
Practice Address - Phone:810-487-3500
Practice Address - Fax:810-487-3530
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101007566207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI204410OtherHEALTH ADVANTAGE NETWORK
MI4250397OtherAETNA
MI58L58850OtherHEALTH PLUS
MIE25708OtherHEALTH ALLIANCE PLAN
MI204410OtherMCLAREN HEALTH PLAN
MIE25708OtherHEALTH NET FEDERAL
MI16718OtherMCARE
MI4008827OtherCIGNA
MI4535656Medicaid
MI0152507194OtherBLUE CROSS BLUE SHIELD
MI4008827OtherCIGNA
MI4535656Medicaid