Healthcare Provider Details

I. General information

NPI: 1003806019
Provider Name (Legal Business Name): DENNIS M LLOYD DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2005
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1119 VILLA LINDE CT STE 37
FLINT MI
48532-3410
US

IV. Provider business mailing address

2036 N SEYMOUR RD
FLUSHING MI
48433-9733
US

V. Phone/Fax

Practice location:
  • Phone: 810-241-6952
  • Fax:
Mailing address:
  • Phone: 810-241-6952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5101007566
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: