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Individual
LLOYD S PENA
Active
Individual
LLOYD S PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A73776
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A837760
—
CA
01
—
A83776
MEDICAL LICENSE
CA
Enumeration date
10/10/2006
Last updated
01/02/2013
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