Provider Demographics
NPI:1356311443
Name:WEST, LOYD AVERY (MD)
Entity Type:Individual
Prefix:DR
First Name:LOYD
Middle Name:AVERY
Last Name:WEST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 MEDICAL CENTER DR
Mailing Address - Street 2:DHMC
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03756-1000
Mailing Address - Country:US
Mailing Address - Phone:603-653-3525
Mailing Address - Fax:603-653-3545
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:DHMC
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756-1000
Practice Address - Country:US
Practice Address - Phone:603-653-3525
Practice Address - Fax:603-653-3545
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2011-07-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH13761207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30207275Medicaid
VT1014325Medicaid
NH30207275Medicaid