Individual
DR. LLOYD E ROOTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP, PHD
Contact information
Practice address
514 BELTRAMI AVE NW, BEMIDJI, MN 56601-3010
(218) 444-2845
(218) 444-2847
Mailing address
514 BELTRAMI AVE NW, BEMIDJI, MN 56601-3010
(218) 444-2845
(218) 444-2847
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2737
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163M9RO
BLUE CROSS BLUE SHIELD MN
MN
Enumeration date
05/01/2007
Last updated
07/08/2007
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