MEDICARE: LLOYD C DYAS, MD, PC

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
1	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1659542082
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LLOYD C DYAS, MD, PC

Provider Business Mailing Address
First Line	:	PO BOX 626
Second Line	:
City	:	RUSSELLVILLE
State	:	AL
Zip	:	35653-0626
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 JAMES HOVATER RD
Second Line	:
City	:	RUSSELLVILLE
State	:	AL
Zip	:	35653-8004
Country	:	US
Telephone Number	:	256-332-6208
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LLOYD DYAS
Credential	:	MD
Telephone Number	:	256-332-6208

Provider Enumeration Date	:	03/13/2008
Last Update Date	:	05/29/2008

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