Provider Demographics
NPI:1326090606
Name:HARMON, LLOYD CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:CHARLES
Last Name:HARMON
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 1:50 UNION STREET
Mailing Address - Street 2:SUITE 2300
Mailing Address - City:ELLSWORTH
Mailing Address - State:ME
Mailing Address - Zip Code:04605-1586
Mailing Address - Country:US
Mailing Address - Phone:207-664-5642
Mailing Address - Fax:207-664-5664
Practice Address - Street 1:50 UNION STREET
Practice Address - Street 2:SUITE 2300
Practice Address - City:ELLSWORTH
Practice Address - State:ME
Practice Address - Zip Code:04605-1586
Practice Address - Country:US
Practice Address - Phone:207-664-5642
Practice Address - Fax:207-664-5664
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME012072208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME230630099Medicaid
MM0550Medicare ID - Type Unspecified
D03575Medicare UPIN
ME230630099Medicaid
MEMM055002Medicare PIN