Provider Demographics
NPI:1083655518
Name:HANCOCK, LLOYD DOUGLAS (MD)
Entity Type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:DOUGLAS
Last Name:HANCOCK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1005 DR DB TODD JR BLVD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37208-3501
Mailing Address - Country:US
Mailing Address - Phone:615-327-5592
Mailing Address - Fax:
Practice Address - Street 1:745 S CHURCH ST
Practice Address - Street 2:SUITE 501
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-4984
Practice Address - Country:US
Practice Address - Phone:615-867-1193
Practice Address - Fax:615-867-1197
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-08
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD36917207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
G17664Medicare UPIN