Individual
BENJAMIN LLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10710 FORT ST, OMAHA, NE 68134-1230
(402) 354-1910
Mailing address
4519 WOOLWORTH AVE, OMAHA, NE 68106-2051
(919) 491-9632
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2425
NE
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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