Most Relevant Information
Provider Data
| NPI Number: | 1003037490 |
| Provider Name: | LLOYD E ROOTES LP, PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | LP2737 |
Most Important Dates
| Enumeration Date: | 05/01/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
514 BELTRAMI AVE NW
BEMIDJI
MN
566013010
Practice Location Phone/Fax
| Phone: | 2184442845 |
| Fax: | 2184442847 |
Provider Mailing Location
514 BELTRAMI AVE NW
BEMIDJI
MN
566013010
Provider Mailing Phone/Fax
| Phone: | 2184442845 |
| Fax: | 2184442847 |