Provider Demographics
NPI:1275564106
Name:BARROW, LON LLOYD (MD)
Entity Type:Individual
Prefix:
First Name:LON
Middle Name:LLOYD
Last Name:BARROW
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 1:3015 S CONGRESS AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33461-2111
Mailing Address - Country:US
Mailing Address - Phone:615-966-4100
Mailing Address - Fax:615-966-4160
Practice Address - Street 1:3015 S CONGRESS AVE STE 6
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-2111
Practice Address - Country:US
Practice Address - Phone:561-793-5077
Practice Address - Fax:561-784-8243
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME90051207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL272463400Medicaid
FL272463400Medicaid
U2855AMedicare ID - Type Unspecified