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Individual

DR. LLOYD ROSS TAUSTINE

Active
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Individual

DR. LLOYD ROSS TAUSTINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
19646
KY
207W00000X
Ophthalmology Physician
28394
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000042393
ANTHEM
IN
01
000000062217
ANTHEM
KY
01
0800022
UNITED HEALTHCARE
01
100259770A
MEDICAID IN MADISON OFFIC
01
100259770B
MEDICAID IN LOUISVILLE OF
05
1052110
KY
01
180004025
MEDICARE RAILROAD
IN
01
180012783
MEDICARE RAILROAD
KY
01
4012921
AETNA
05
64196462
KY
01
917333
BLOCK VISION
01
I005632
TRICARE INDIANA OFFICE
01
K001342
TRICARE KENTUCKY OFFICE
Enumeration date
08/12/2005
Last updated
02/10/2023
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