Individual
DR. LLOYD ARDEN BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2230 W BROAD ST, STE 103, RICHMOND, VA 23220-2002
(804) 325-8801
Mailing address
505 W LEIGH ST, SUITE 303, RICHMOND, VA 23220-3200
(804) 644-1333
(804) 782-1193
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101029472
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6078401
—
VA
01
—
C06695
GROUP PTAN
VA
Enumeration date
10/06/2005
Last updated
11/21/2024
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