Provider Demographics
NPI:1912962945
Name:FRANKLIN, LLOYD DOUGLAS (MD)
Entity Type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:DOUGLAS
Last Name:FRANKLIN
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 1:150 N WILLOW AVE
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-2368
Mailing Address - Country:US
Mailing Address - Phone:931-528-1485
Mailing Address - Fax:931-526-4233
Practice Address - Street 1:150 N WILLOW AVE
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-2368
Practice Address - Country:US
Practice Address - Phone:931-528-1485
Practice Address - Fax:931-526-4233
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-20
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN148592080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1538173471OtherCOOKEVILLE PEDIATRIC ASSOCIATES NPI
TN15117710Medicaid
TN3001286Medicaid
TN4100614OtherBLUE CROSS BLUE SHIELD
TN4100614OtherBLUE CROSS BLUE SHIELD