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Individual

LEWIS K LLOYD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
6612
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000003747
AL
01
00122940
MISSISSIPPI MEDICAID
MS
01
03747
BLUE CROSS
AL
01
343510392
RAILROAD MEDICARE
AL
Enumeration date
08/08/2006
Last updated
05/20/2011
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