Provider Demographics
NPI:1750497053
Name:COTTON, LLOYD (RPT)
Entity Type:Individual
Prefix:MR
First Name:LLOYD
Middle Name:
Last Name:COTTON
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6326 E SANTA ANA CANYON RD
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-2365
Mailing Address - Country:US
Mailing Address - Phone:714-526-3248
Mailing Address - Fax:714-526-3240
Practice Address - Street 1:6326 E SANTA ANA CANYON RD
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-2365
Practice Address - Country:US
Practice Address - Phone:714-526-3248
Practice Address - Fax:714-526-3240
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT1200402081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine