Provider Demographics
NPI:1871961516
Name:PLUMMER, LLOYD JR
Entity type:Individual
Prefix:
First Name:LLOYD
Middle Name:
Last Name:PLUMMER
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:446 E 46TH ST
Mailing Address - Street 2:APT 2R
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-4202
Mailing Address - Country:US
Mailing Address - Phone:347-553-6046
Mailing Address - Fax:
Practice Address - Street 1:446 E 46TH ST
Practice Address - Street 2:APT 2R
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-4202
Practice Address - Country:US
Practice Address - Phone:347-553-6046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-11
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY322351164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse