Basic Information
Provider Information
NPI: 1609913854
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STRODE
FirstName: LLOYD
MiddleName: LEWIS
NamePrefix:  
NameSuffix: JR.
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2695 ROCKY MOUNTAIN AVE
Address2: SUITE 150
City: LOVELAND
State: CO
PostalCode: 805388702
CountryCode: US
TelephoneNumber: 9706244443
FaxNumber: 9704904175
Practice Location
Address1: 6615 DELMONICO DR
Address2:  
City: COLORADO SPRINGS
State: CO
PostalCode: 809191809
CountryCode: US
TelephoneNumber: 7195909494
FaxNumber: 7195949761
Other Information
ProviderEnumerationDate: 01/30/2007
LastUpdateDate: 05/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/22/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X22559COY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


Home