Provider Demographics
NPI:1881661601
Name:LENSE, LLOYD DAVID
Entity Type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:DAVID
Last Name:LENSE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:STONY BROOK UNIVERSITY CARDIOLOGY
Mailing Address - Street 2:HEALTH SCIENCES CENTER T16-080
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-0001
Mailing Address - Country:US
Mailing Address - Phone:631-444-1060
Mailing Address - Fax:631-444-1054
Practice Address - Street 1:STONY BROOK UNIVERSITY CARDIOLOGY
Practice Address - Street 2:HEALTH SCIENCES CENTER T16-080
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-0001
Practice Address - Country:US
Practice Address - Phone:631-444-1060
Practice Address - Fax:631-444-1054
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY136909174400000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400038834Medicare PIN
NYB17891Medicare UPIN