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Individual

LLOYD J HOOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
901 LAKESHORE DR, ISHPEMING, MI 49849-1367
(906) 485-2687
(906) 485-2730
Mailing address
901 LAKESHORE DR, ISHPEMING, MI 49849-1367
(906) 485-2687
(906) 485-2730

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301045325
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103227297
MI
01
LH045325
BCBS LICENSE
MI
01
P00210384
RRMEDICARE
MI
Enumeration date
12/14/2006
Last updated
05/12/2014
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