Provider Demographics
NPI:1386978088
Name:LLOYD, JAY MAURICE SR (PA-C)
Entity type:Individual
Prefix:MR
First Name:JAY
Middle Name:MAURICE
Last Name:LLOYD
Suffix:SR
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:2817 REILLY ST
Mailing Address - Street 2:MCXC-COD CREDENTIALS
Mailing Address - City:FORT BRAGG
Mailing Address - State:NC
Mailing Address - Zip Code:28310-7324
Mailing Address - Country:US
Mailing Address - Phone:910-907-8922
Mailing Address - Fax:910-907-6069
Practice Address - Street 1:2817 ROCK MERRITT AVE MCXC-COD CREDENTIALS
Practice Address - Street 2:
Practice Address - City:FORT LIBERTY
Practice Address - State:NC
Practice Address - Zip Code:28310-7324
Practice Address - Country:US
Practice Address - Phone:910-907-8922
Practice Address - Fax:910-907-6069
Is Sole Proprietor?:No
Enumeration Date:2009-09-28
Last Update Date:2023-09-22
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant