Provider Demographics
NPI:1316915556
Name:LLOYD, ROBERT J (DO)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:J
Last Name:LLOYD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 E OAK HILL AVE
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37917-4505
Mailing Address - Country:US
Mailing Address - Phone:615-778-8524
Mailing Address - Fax:615-628-6877
Practice Address - Street 1:919 E CENTRAL AVE
Practice Address - Street 2:STE 201
Practice Address - City:LA FOLLETTE
Practice Address - State:TN
Practice Address - Zip Code:37766-2777
Practice Address - Country:US
Practice Address - Phone:423-907-1680
Practice Address - Fax:423-907-1684
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDO0000001143208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1508662Medicaid
KY64720659OtherKY MEDICAID
TN100022072OtherPHP TNCARE
P00194779OtherMEDICARE RAILROAD
TN3304432Medicaid
TN1508662Medicaid
TN3304432Medicaid
TN103I027783Medicare PIN