Individual
GREGORY LLOYD LYFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2634 W PEBBLE CREEK DR, NIXA, MO 65714-8908
(417) 725-4983
Mailing address
2634 W PEBBLE CREEK DR, NIXA, MO 65714-8908
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2004007608
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189228
BLUE CROSS BLUE SHIELD
—
05
—
209011600
—
MO
Enumeration date
06/02/2006
Last updated
12/02/2024
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