Provider Demographics
NPI:1790946291
Name:HEILMAN, LLOYD DUNCAN (MD)
Entity Type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:DUNCAN
Last Name:HEILMAN
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 1:532 SE WALTERS TER
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34983-3881
Mailing Address - Country:US
Mailing Address - Phone:772-344-0670
Mailing Address - Fax:
Practice Address - Street 1:532 SE WALTERS TER
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34983-3881
Practice Address - Country:US
Practice Address - Phone:772-344-0670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-18
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 1007072085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology