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NPI Code Detail

MEDICARE: LLOYD EARL HEPBURN JR. MD

MEDICARE:   LLOYD EARL HEPBURN JR. MD
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
1207R00000XInternal Medicine Physician18279SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00784095OTHERSCRAILROAD MEDICARE ID-EFF 8/17/2009

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770531972
Entity Type Code : Individual
Provider Name (Legal Business Name) : LLOYD EARL HEPBURN JR. MD
Provider Business Mailing Address
First Line : PO BOX 632516
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-2516
Country : US
Telephone Number : 888-472-0043
Fax Number : 513-653-4122
Provider Business Practice Location Address
First Line : 2075 EAGLE LANDING BLVD
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-4074
Country : US
Telephone Number : 843-797-5747
Fax Number : 843-797-0857
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 05/04/2026

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Directions to “ LLOYD EARL HEPBURN JR. MD” Practice Location

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