MEDICARE: LLOYD K RICHLESS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD 027711E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	252044	OTHER	PA	UPMC
2	306284	OTHER	PA	HEALTH ASSURANCE
3	461863	OTHER	PA	BC BS
4	466675	OTHER	PA	AETNA US HEALTHCARE
5	1006735	OTHER	PA	GATEWAY
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609923697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LLOYD K RICHLESS M.D.

Provider Business Mailing Address
First Line	:	251 7TH ST
Second Line	:	SUITE 201B
City	:	NEW KENSINGTON
State	:	PA
Zip	:	15068-6534
Country	:	US
Telephone Number	:	724-335-6662
Fax Number	:	724-335-3010

Provider Business Practice Location Address
First Line	:	251 7TH ST
Second Line	:	SUITE 201B
City	:	NEW KENSINGTON
State	:	PA
Zip	:	15068-6534
Country	:	US
Telephone Number	:	724-335-6662
Fax Number	:	724-335-3010

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	07/08/2007

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Directions to “ LLOYD K RICHLESS M.D.” Practice Location

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