Provider Demographics
NPI:1316036957
Name:MERCER, LLOYD FRANKLIN (MD)
Entity Type:Individual
Prefix:
First Name:LLOYD
Middle Name:FRANKLIN
Last Name:MERCER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:LLOYD
Other - Middle Name:FRANKLIN
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:303 GRAYLING BLVD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39110-7385
Mailing Address - Country:US
Mailing Address - Phone:601-853-2351
Mailing Address - Fax:
Practice Address - Street 1:303 GRAYLING BLVD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:MS
Practice Address - Zip Code:39110-7385
Practice Address - Country:US
Practice Address - Phone:601-853-2351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS14682207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery