Provider Demographics
NPI:1962501932
Name:MOBLEY, LLOYD W III (MD)
Entity Type:Individual
Prefix:
First Name:LLOYD
Middle Name:W
Last Name:MOBLEY
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:9980 PARK MEADOWS DR STE 101
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-8404
Mailing Address - Country:US
Mailing Address - Phone:720-638-7500
Mailing Address - Fax:720-583-6770
Practice Address - Street 1:11750 W 2ND PL STE 255
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1726
Practice Address - Country:US
Practice Address - Phone:720-638-7500
Practice Address - Fax:720-321-8041
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2024-03-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CODR.0042315207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO27034844Medicaid
CO27034844Medicaid