Organization
LLOYD R. TAUSTINE PC
Active
Parent organization
LLOYD R TAUSTINE PC
Other names
TAUSTINE EYE CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
LLOYD R TAUSTINE PC
Authorized official
DR. LLOYD R TAUSTINE MD (PRESIDENT)
(812) 265-6535
Entity
Organization
Contact information
Practice address
601 BROADWAY ST STE 10, MADISON, IN 47250-3364
(812) 265-6535
(812) 265-6212
Mailing address
601 BROADWAY ST STE 10, MADISON, IN 47250-3364
(812) 265-6535
(812) 265-6212
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100148660A
—
IN
Enumeration date
05/31/2007
Last updated
04/08/2015
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