NPI 1093123010

Willie Lloyd

Practitioner Specialist Lake Village, AR

Practice location

Address: 1659 S Highway 65 82, Lake Village, AR 71653-1661
Phone: (870) 265-4191
Mailing address: 1205 Boyd St, Greenville, MS 38701-5618

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1093123010
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jul 2014
Record last updated: 23 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.