Provider Demographics
NPI:1447251251
Name:LLOYD, JAMES R (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:R
Last Name:LLOYD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:13105 W BLUEMOUND RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53005-8022
Mailing Address - Country:US
Mailing Address - Phone:262-754-5190
Mailing Address - Fax:262-754-5195
Practice Address - Street 1:13105 W BLUEMOUND RD
Practice Address - Street 2:SUITE 150
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-8022
Practice Address - Country:US
Practice Address - Phone:262-754-5190
Practice Address - Fax:262-754-5195
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI23133-020174400000X
WI23133-20207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI30729900Medicaid
WI30729900Medicaid
WI000001643Medicare PIN