Individual
DESTRY LLOYD EAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
601 S EDWIN C MOSES BLVD, DAYTON, OH 45417-3424
(937) 734-4334
Mailing address
627 S EDWIN C MOSES BLVD, EAST MEDICAL PLAZA, 1ST FLOOR, DAYTON, OH 45417-3461
(937) 223-8840
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34.013616
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2016
Last updated
06/03/2019
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