Healthcare Provider Details

I. General information

NPI: 1538168729
Provider Name (Legal Business Name): THOMAS STARKSEN LLOYD DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 LOCUST ST
DENVER CO
80220-5367
US

IV. Provider business mailing address

750 LOCUST ST
DENVER CO
80220-5367
US

V. Phone/Fax

Practice location:
  • Phone: 303-355-7444
  • Fax: 303-377-9308
Mailing address:
  • Phone: 303-355-7444
  • Fax: 303-377-9308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberCO367
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: