Provider Demographics
NPI:1770670051
Name:KLIBERT, LLOYD (MD)
Entity Type:Individual
Prefix:
First Name:LLOYD
Middle Name:
Last Name:KLIBERT
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 1:100 WOMANS WAY
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70817-5100
Mailing Address - Country:US
Mailing Address - Phone:225-924-8149
Mailing Address - Fax:225-924-8448
Practice Address - Street 1:8212 KELWOOD AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-4801
Practice Address - Country:US
Practice Address - Phone:225-929-7600
Practice Address - Fax:225-930-7524
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA016224207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA050067564OtherRR MEDICARE PROVIDER NUMB
LALA0062675OtherTRICARE PROVIDER NUMBER
LA1348121Medicaid
LA721077264KIOtherHUMANA PROVIDER NUMBER
LAB60299OtherSTERLING PROVIDER NUMBER
LAB60299Medicare UPIN
LA1348121Medicaid