Provider Demographics
NPI:1841200565
Name:GARREN, LLOYD R (MD)
Entity Type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:R
Last Name:GARREN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:23 UPPER RAGSDALE DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-5771
Mailing Address - Country:US
Mailing Address - Phone:831-375-3577
Mailing Address - Fax:831-375-1478
Practice Address - Street 1:23 UPPER RAGSDALE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5771
Practice Address - Country:US
Practice Address - Phone:831-375-3577
Practice Address - Fax:831-375-1478
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG81024207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB66454Medicare UPIN