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Organization
LLOYD COSTELLO MD A PROFESSIONAL CORPORATION
Active
Organization
LLOYD COSTELLO MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALIA COSTELLO (VICE PRESIDENT)
(909) 865-5777
Entity
Organization
Contact information
Practice address
1902 ROYALTY DR, SUITE 130, POMONA, CA 91767-3030
(909) 865-5777
(909) 865-5781
Mailing address
1902 ROYALTY DR, SUITE 130, POMONA, CA 91767-3030
(909) 865-5777
(909) 865-5781
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G53195
CA
Other
Enumeration date
05/11/2006
Last updated
01/09/2014
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