Provider Demographics
NPI:1912112608
Name:HELDER, LLOYD JOHN (MD)
Entity Type:Individual
Prefix:
First Name:LLOYD
Middle Name:JOHN
Last Name:HELDER
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 1:1303 E ANDRE AVE
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-1909
Mailing Address - Country:US
Mailing Address - Phone:989-773-2520
Mailing Address - Fax:
Practice Address - Street 1:1303 E ANDRE AVE
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-1909
Practice Address - Country:US
Practice Address - Phone:989-773-2520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MILH0302362080H0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080H0002XAllopathic & Osteopathic PhysiciansPediatricsHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4344387Medicaid
MILH030236OtherLIC #
MIB45706OtherDEA
MI4344387Medicaid