Provider Demographics
NPI:1215653167
Name:LLOYD-FLETCHER, LYNDA MAGGIE
Entity type:Individual
Prefix:
First Name:LYNDA
Middle Name:MAGGIE
Last Name:LLOYD-FLETCHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15735 CARMEL VERDE LN
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92551-1955
Mailing Address - Country:US
Mailing Address - Phone:951-488-5189
Mailing Address - Fax:
Practice Address - Street 1:15735 CARMEL VERDE LN
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92551-1955
Practice Address - Country:US
Practice Address - Phone:951-488-5189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider