Individual
LLOYD TRICHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
509 E MILLSAP RD, SUITE #101, FAYETTEVILLE, AR 72703-4067
(479) 587-0171
(479) 587-0885
Mailing address
PO BOX 1705, FAYETTEVILLE, AR 72702-1705
(479) 587-0171
(479) 587-0885
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0902
TX
213E00000X
Podiatrist
Primary
116
AR
213E00000X
Podiatrist
172
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119165717
—
AR
05
—
148124748
—
AR
01
—
15934000000
QUALCHOICE OF ARKANSAS
AR
01
—
2720061
UNITED HEALTHCARE
—
01
—
387675
HEALTHLINK
AR
01
—
56240
CHAMPUS
AR
01
—
5843039
AETNA
AR
Enumeration date
07/07/2006
Last updated
01/28/2008
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