Provider Demographics
NPI:1265534184
Name:ROBINSON, LLOYD E (MD)
Entity type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:E
Last Name:ROBINSON
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:PO BOX 1000
Mailing Address - Street 2:DEPT. 96
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38148-0001
Mailing Address - Country:US
Mailing Address - Phone:901-756-5565
Mailing Address - Fax:901-756-5564
Practice Address - Street 1:1785 NONCONNAH BLVD
Practice Address - Street 2:#120
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38132-2104
Practice Address - Country:US
Practice Address - Phone:901-345-6700
Practice Address - Fax:901-345-6755
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13712207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4414458OtherAETNA HMO
TN080132733OtherRR MEDICARE
TN059973OtherBCBST
TN3197111Medicaid
510201OtherOMNICARE/UAHC
TN2588425OtherCIGNA
B04475Medicare UPIN
TN3197111Medicare PIN