Provider Demographics
NPI:1912287517
Name:LLOYD, PETER K
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:K
Last Name:LLOYD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 S EISENHOWER PKWY
Mailing Address - Street 2:
Mailing Address - City:RHINELANDER
Mailing Address - State:WI
Mailing Address - Zip Code:54501-8361
Mailing Address - Country:US
Mailing Address - Phone:715-369-1079
Mailing Address - Fax:715-369-1108
Practice Address - Street 1:421 S EISENHOWER PKWY
Practice Address - Street 2:
Practice Address - City:RHINELANDER
Practice Address - State:WI
Practice Address - Zip Code:54501-8361
Practice Address - Country:US
Practice Address - Phone:715-369-1079
Practice Address - Fax:715-369-1108
Is Sole Proprietor?:No
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11932-0401835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist