Provider Demographics
NPI:1649217035
Name:GELMAN, LLOYD D (MD)
Entity Type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:D
Last Name:GELMAN
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 1:3950 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-1104
Mailing Address - Country:US
Mailing Address - Phone:303-444-5991
Mailing Address - Fax:303-443-5030
Practice Address - Street 1:3950 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-1104
Practice Address - Country:US
Practice Address - Phone:303-444-5991
Practice Address - Fax:303-443-5030
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO16453174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01164532Medicaid
CO01164532Medicaid
COD23075Medicare UPIN