Provider Demographics
NPI:1326008525
Name:LLOYD, JANEL D (MD)
Entity Type:Individual
Prefix:DR
First Name:JANEL
Middle Name:D
Last Name:LLOYD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 N KIMBERLEE RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85749-8136
Mailing Address - Country:US
Mailing Address - Phone:520-749-1151
Mailing Address - Fax:
Practice Address - Street 1:3085 N SWAN RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-1259
Practice Address - Country:US
Practice Address - Phone:520-323-3099
Practice Address - Fax:520-323-3460
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ23911173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZH09183Medicare UPIN