Individual
MR. BENJAMIN LYLE LLOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
49 KELSEY DR, SCHUYLKILL HAVEN, PA 17972-9736
(419) 708-9153
Mailing address
49 KELSEY DR, SCHUYLKILL HAVEN, PA 17972-9736
(419) 708-9153
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RT004840
PA
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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