Individual
DAVID P LLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11108 PARKVIEW CIRCLE DR, SUITE 5100, FORT WAYNE, IN 46845-1730
(260) 266-2800
(260) 266-2805
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01025396A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000595621
ANTHEM
IN
05
—
0471636
—
OH
05
—
100361030
—
IN
05
—
100361030B
—
IN
01
—
P00755201
MEDICARE RR
IN
Enumeration date
07/22/2005
Last updated
10/17/2022
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