Provider Demographics
NPI:1285616557
Name:SMITH, LLOYD H (MD)
Entity type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:H
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4860 Y ST
Mailing Address - Street 2:OB/GYN, SUITE 2500
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2307
Mailing Address - Country:US
Mailing Address - Phone:916-734-6946
Mailing Address - Fax:916-734-6031
Practice Address - Street 1:4860 Y ST
Practice Address - Street 2:OB/GYN, SUITE 2500
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2307
Practice Address - Country:US
Practice Address - Phone:916-734-6946
Practice Address - Fax:916-734-6031
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2011-08-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG47928207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G479280Medicaid
CA00G479280Medicaid
CA00G479280Medicare PIN