Provider Demographics
NPI:1124037908
Name:LAUGHLIN, LLOYD LEE (DDS, PA)
Entity Type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:LEE
Last Name:LAUGHLIN
Suffix:
Gender:M
Credentials:DDS, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 E SAM HOUSTON PKWY S STE 200
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77505-3957
Mailing Address - Country:US
Mailing Address - Phone:281-998-4916
Mailing Address - Fax:281-998-4839
Practice Address - Street 1:4600 FAIRMONT PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-3335
Practice Address - Country:US
Practice Address - Phone:281-998-4916
Practice Address - Fax:281-998-4839
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2024-03-19
Deactivation Date:2023-11-15
Deactivation Code:
Reactivation Date:2024-01-03
Provider Licenses
StateLicense IDTaxonomies
TX181321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice