Stovall, Lloydetta

Stovall, Lloydetta is an individual health care provider with primary practice located at 360 E Eh Crump Blvd , Memphis TN 38126-5310. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Stovall, Lloydetta can be contacted via phone (901) 261-2000.

Contact Information

Primary practice address
360 E Eh Crump Blvd Memphis TN 38126-5310
Phone: (901) 261-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 32011 Tennessee

Profile Details

NPI number 1639165798
LBN Legal business name Stovall, Lloydetta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated May 4th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639165798 NPPES
Tennessee MEDICAID 3853566

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