Provider Demographics
NPI:1568542744
Name:MERCER, LLOYD F JR (MD)
Entity Type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:F
Last Name:MERCER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2301 S BROADWAY AVE
Mailing Address - Street 2:SUITE B-8
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-5402
Mailing Address - Country:US
Mailing Address - Phone:903-526-4242
Mailing Address - Fax:903-526-4240
Practice Address - Street 1:2301 S BROADWAY AVE
Practice Address - Street 2:SUITE B-8
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-5402
Practice Address - Country:US
Practice Address - Phone:903-526-4242
Practice Address - Fax:903-526-4240
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG36102084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00DH37Medicare ID - Type Unspecified
TXC19311Medicare UPIN