Provider Demographics
NPI:1417950643
Name:BARRETT, JAMES LLOYD (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:LLOYD
Last Name:BARRETT
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 1:112 N EWING ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-3307
Mailing Address - Country:US
Mailing Address - Phone:740-687-1177
Mailing Address - Fax:740-687-1661
Practice Address - Street 1:112 N EWING ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-3307
Practice Address - Country:US
Practice Address - Phone:740-687-1177
Practice Address - Fax:740-687-1661
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0315724207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH071934128OtherMEDICARE RAILROAD
OH0315724Medicaid
OH0315724Medicaid
OHC01373Medicare UPIN