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Individual

MR. LLOYD E HALVORSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7115 GUILFORD DR STE 202, FREDERICK, MD 21704-5236
(301) 663-5922
Mailing address
7115 GUILFORD DR STE 202, FREDERICK, MD 21704-5236
(301) 663-5922

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0022019
MD
207RP1001X
Pulmonary Disease Physician
Primary
D0022019
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
317011000
MD
Enumeration date
08/02/2005
Last updated
07/18/2012
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