Provider Demographics
NPI:1407724131
Name:AUSTIN, LLOYD MICHAEL
Entity type:Individual
Prefix:
First Name:LLOYD
Middle Name:MICHAEL
Last Name:AUSTIN
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 41241
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36640-1241
Mailing Address - Country:US
Mailing Address - Phone:251-405-3677
Mailing Address - Fax:251-405-3233
Practice Address - Street 1:1200A SPRING HILL AVE
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-2718
Practice Address - Country:US
Practice Address - Phone:251-405-3677
Practice Address - Fax:251-405-3233
Is Sole Proprietor?:No
Enumeration Date:2025-10-24
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist