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NPI Code Detail

MEDICARE: MR. RALPH HOWARD LLOYD PA-C

MEDICARE: MR. RALPH HOWARD LLOYD PA-C
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
1363A00000XPhysician AssistantC0000204MD

General Provider Information

NPI Number : 1043274541
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RALPH HOWARD LLOYD PA-C
Provider Business Mailing Address
First Line : 10 N GREENE ST
Second Line : MEDICAL CARE CLINICAL CENTER (111)
City : BALTIMORE
State : MD
Zip : 21201-1524
Country : US
Telephone Number : 410-605-7000
Fax Number : 410-605-7845
Provider Business Practice Location Address
First Line : 10 N GREENE ST
Second Line : MEDICAL CARE CLINICAL CENTER (111)
City : BALTIMORE
State : MD
Zip : 21201-1524
Country : US
Telephone Number : 410-605-7000
Fax Number : 410-605-7845
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2006
Last Update Date : 07/08/2007

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