Provider Demographics
NPI:1780685339
Name:LLOYD, LAWRENCE E (DPM)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:E
Last Name:LLOYD
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2117 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46012-3528
Mailing Address - Country:US
Mailing Address - Phone:765-642-3000
Mailing Address - Fax:765-642-3074
Practice Address - Street 1:2117 E 5TH ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46012-3528
Practice Address - Country:US
Practice Address - Phone:765-642-3000
Practice Address - Fax:765-642-3074
Is Sole Proprietor?:No
Enumeration Date:2005-08-04
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN07000551A213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200897840Medicaid
IN200897840Medicaid
IN256600AMedicare PIN
IN260865000OtherTIN
IN6159450001Medicare NSC