Provider Demographics
NPI:1477558906
Name:COATS, LLOYD WAYNE (DO)
Entity Type:Individual
Prefix:
First Name:LLOYD
Middle Name:WAYNE
Last Name:COATS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:L.
Other - Middle Name:WAYNE
Other - Last Name:COATS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:272 HOSPITAL RD STE 6
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-9031
Mailing Address - Country:US
Mailing Address - Phone:740-779-4275
Mailing Address - Fax:740-779-4257
Practice Address - Street 1:4437 STATE ROUTE 159
Practice Address - Street 2:STE. 115
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-7065
Practice Address - Country:US
Practice Address - Phone:740-779-8840
Practice Address - Fax:740-779-8849
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2020-11-19
Deactivation Date:2006-03-20
Deactivation Code:
Reactivation Date:2006-04-05
Provider Licenses
StateLicense IDTaxonomies
OH34006282C207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0187864Medicaid
OH0187864Medicaid
OHG16857Medicare UPIN