Provider Demographics
NPI:1194093740
Name:JONES, LLOYD M (RT R CT)
Entity type:Individual
Prefix:
First Name:LLOYD
Middle Name:M
Last Name:JONES
Suffix:
Gender:M
Credentials:RT R CT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1372 MEADOW CREST DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH LAKE TAHOE
Mailing Address - State:CA
Mailing Address - Zip Code:96150-7413
Mailing Address - Country:US
Mailing Address - Phone:408-373-6176
Mailing Address - Fax:
Practice Address - Street 1:1372 MEADOW CREST DR
Practice Address - Street 2:
Practice Address - City:SOUTH LAKE TAHOE
Practice Address - State:CA
Practice Address - Zip Code:96150-7413
Practice Address - Country:US
Practice Address - Phone:408-373-6176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-11
Last Update Date:2017-02-18
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography