Basic Information
Provider Information
NPI: 1982757613
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LLOYD
FirstName: ROBERT
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 801 S STEVENS ST
Address2:  
City: SPOKANE
State: WA
PostalCode: 992042654
CountryCode: US
TelephoneNumber: 5097474455
FaxNumber: 5093637064
Practice Location
Address1: 835 SE BISHOP BLVD
Address2:  
City: PULLMAN
State: WA
PostalCode: 991635512
CountryCode: US
TelephoneNumber: 5097474455
FaxNumber: 5093637064
Other Information
ProviderEnumerationDate: 01/18/2007
LastUpdateDate: 07/15/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202XO-0381IDY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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