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Individual
KATHLEEN LAVIGNE LOYD
Active
Individual
KATHLEEN LAVIGNE LOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1101749
TX
2251X0800X
Orthopedic Physical Therapist
1101749
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4375780002
PALMETTO PROVIDER NUMBER
TX
01
—
854T70
BC/BS TX - EFFECT. 02/01/2011
TX
01
—
8D5829
MEDICARE PART B - PRIOR TO 2/1/11
TX
01
—
8T3855
BCBS
TX
01
—
P00954322
RAILROAD MEDICARE
TX
01
—
TXB121218
MEDICARE PART B - EFFECT 3/3/11
TX
Enumeration date
10/12/2006
Last updated
05/22/2013
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