Healthcare Provider Details

I. General information

NPI: 1609913854
Provider Name (Legal Business Name): LLOYD LEWIS STRODE JR. DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 05/22/2020
Certification Date: 05/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6615 DELMONICO DR
COLORADO SPRINGS CO
80919-1809
US

IV. Provider business mailing address

2695 ROCKY MOUNTAIN AVE SUITE 150
LOVELAND CO
80538-8702
US

V. Phone/Fax

Practice location:
  • Phone: 719-590-9494
  • Fax: 719-594-9761
Mailing address:
  • Phone: 970-624-4443
  • Fax: 970-490-4175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number22559
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: