Provider Demographics
NPI:1538104294
Name:LLOYD-JONES, TREVOR THOMAS (MD)
Entity Type:Individual
Prefix:MR
First Name:TREVOR
Middle Name:THOMAS
Last Name:LLOYD-JONES
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 1:10 W BOYD AVE
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46140-1401
Mailing Address - Country:US
Mailing Address - Phone:317-462-9909
Mailing Address - Fax:317-462-5313
Practice Address - Street 1:10 W BOYD AVE
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:IN
Practice Address - Zip Code:46140-1401
Practice Address - Country:US
Practice Address - Phone:317-462-9909
Practice Address - Fax:317-462-5313
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-18
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01028055A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
INB28878Medicare UPIN
IN797980AMedicare PIN