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Individual

LLOYD DEWAYNE BELLAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 336-3909
(616) 336-8830
Mailing address
1650 W VIRGINIA ST STE 202, MCKINNEY, TX 75069-7703
(972) 542-5980
(972) 542-5490

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12606R
LA
2084P0800X
Psychiatry Physician
2026-00462
NC
2084P0800X
Psychiatry Physician
342219
NY
2084P0800X
Psychiatry Physician
81654
MN
2084P0800X
Psychiatry Physician
CDR.0006450
CO
2084P0800X
Psychiatry Physician
MD70091493
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1539384
LA
Enumeration date
08/22/2005
Last updated
05/07/2026
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