Provider Demographics
NPI:1053307538
Name:BROWNING, LLOYD ML (MD)
Entity Type:Individual
Prefix:
First Name:LLOYD
Middle Name:ML
Last Name:BROWNING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 S WATER ST
Mailing Address - Street 2:PO BOX 120
Mailing Address - City:LOUISA
Mailing Address - State:KY
Mailing Address - Zip Code:41230-1387
Mailing Address - Country:US
Mailing Address - Phone:606-638-4504
Mailing Address - Fax:606-638-4186
Practice Address - Street 1:203 S WATER ST
Practice Address - Street 2:
Practice Address - City:LOUISA
Practice Address - State:KY
Practice Address - Zip Code:41230-1387
Practice Address - Country:US
Practice Address - Phone:606-638-4504
Practice Address - Fax:606-638-4186
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2009-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY13880207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0055896000OtherMEDICAID
KY64138803Medicaid
KY1145101Medicare ID - Type Unspecified
KY64138803Medicaid