Healthcare Provider Details

I. General information

NPI: 1396130332
Provider Name (Legal Business Name): AARON LLOYD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2015
Last Update Date: 09/28/2023
Certification Date: 09/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

887 CONGRESS ST
PORTLAND ME
04102-3100
US

IV. Provider business mailing address

8469 MEADOW VISTA DR
LEWISVILLE NC
27023-9872
US

V. Phone/Fax

Practice location:
  • Phone: 207-774-6368
  • Fax:
Mailing address:
  • Phone: 847-736-8933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberMD23667
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: