Provider Demographics
NPI:1639411564
Name:BURNS, LLOYD SPENCER (DO)
Entity Type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:SPENCER
Last Name:BURNS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:SPENCER
Other - Middle Name:
Other - Last Name:BURNS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:29 W OAKLEY DR S
Mailing Address - Street 2:APT 201
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-6118
Mailing Address - Country:US
Mailing Address - Phone:916-225-0812
Mailing Address - Fax:
Practice Address - Street 1:29 W OAKLEY DR S
Practice Address - Street 2:APT 201
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-6118
Practice Address - Country:US
Practice Address - Phone:916-225-0812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-18
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ007234207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine