Provider Demographics
NPI:1144310095
Name:DUNN, JAMES LLOYD (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:LLOYD
Last Name:DUNN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 N BRIARWOOD LN
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304
Mailing Address - Country:US
Mailing Address - Phone:765-287-9767
Mailing Address - Fax:765-287-0094
Practice Address - Street 1:3600 N BRIARWOOD LN
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47304-5219
Practice Address - Country:US
Practice Address - Phone:765-287-9767
Practice Address - Fax:765-287-0094
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01039301207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100107260AMedicaid
E21285Medicare UPIN
IN208420Medicare ID - Type Unspecified