Organization
LAKE BUTLER MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA REGINA LLOYD MD (PHYSICIAN)
(386) 496-1328
Entity
Organization
Contact information
Practice address
675 E MAIN ST, LAKE BUTLER, FL 32054-1352
(386) 496-1328
(386) 496-2227
Mailing address
PO BOX 188, LAKE BUTLER, FL 32054-0188
(386) 496-1328
(386) 496-2227
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME81421
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266578600
—
FL
Enumeration date
10/18/2005
Last updated
06/29/2010
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