Provider Demographics
NPI:1316497563
Name:LLOYD, LISA (NP)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:LLOYD
Suffix:
Gender:F
Credentials:NP
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 3698
Mailing Address - Street 2:
Mailing Address - City:CAREFREE
Mailing Address - State:AZ
Mailing Address - Zip Code:85377-3698
Mailing Address - Country:US
Mailing Address - Phone:240-498-2927
Mailing Address - Fax:480-264-6404
Practice Address - Street 1:7321 E LONG RIFLE RD
Practice Address - Street 2:
Practice Address - City:CAREFREE
Practice Address - State:AZ
Practice Address - Zip Code:85377-4535
Practice Address - Country:US
Practice Address - Phone:240-498-2927
Practice Address - Fax:480-264-6404
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-12
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR200640363LF0000X
AZ24381363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily