Lloyd, Mark L

Lloyd, Mark L is an individual health care provider with primary practice located at 2235 E Gala St , Meridian ID 83642-8026. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Lloyd, Mark L can be contacted via phone (208) 887-3724.

Contact Information

Primary practice address
2235 E Gala St Meridian ID 83642-8026
Phone: (208) 887-3724
Fax: (208) 887-1682
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X M-7100 Idaho

Profile Details

NPI number 1730174301
LBN Legal business name Lloyd, Mark L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Feb 15th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730174301 NPPES
Idaho MEDICAID 003791501
Idaho Other 286255
Idaho Other 000010002020
Idaho Other DK424
Idaho Other P00209918

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