Provider Demographics
NPI:1538168729
Name:LLOYD, THOMAS STARKSEN (DPM)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:STARKSEN
Last Name:LLOYD
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-5367
Mailing Address - Country:US
Mailing Address - Phone:303-355-7444
Mailing Address - Fax:303-377-9308
Practice Address - Street 1:750 LOCUST ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-5367
Practice Address - Country:US
Practice Address - Phone:303-355-7444
Practice Address - Fax:303-377-9308
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO367213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01003672Medicaid
U03112Medicare UPIN
CO01003672Medicaid