Provider Demographics
NPI:1285488718
Name:LLOYD-MINKUS, JUANITA
Entity type:Individual
Prefix:MRS
First Name:JUANITA
Middle Name:
Last Name:LLOYD-MINKUS
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:PO BOX 206
Mailing Address - Street 2:
Mailing Address - City:MECOSTA
Mailing Address - State:MI
Mailing Address - Zip Code:49332-0206
Mailing Address - Country:US
Mailing Address - Phone:231-598-1990
Mailing Address - Fax:
Practice Address - Street 1:9722 5 MILE RD
Practice Address - Street 2:
Practice Address - City:LAKEVIEW
Practice Address - State:MI
Practice Address - Zip Code:48850-9643
Practice Address - Country:US
Practice Address - Phone:231-598-1990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider