Lyford, Gregory Lloyd

Lyford, Gregory Lloyd is an individual health care provider with primary practice located at 3901 S Fremont Ave , Springfield MO 65804-6538. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Lyford, Gregory Lloyd can be contacted via phone (417) 875-3000.

Contact Information

Primary practice address
3901 S Fremont Ave Springfield MO 65804-6538
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 2004007608 Missouri

Profile Details

NPI number 1215975339
LBN Legal business name Lyford, Gregory Lloyd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jan 15th, 2021 - about 4 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 1215975339 NPPES
Missouri MEDICAID 209011600
Missouri Other 189228

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