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NPI Code Detail

MEDICARE: LINDA JEAN LLOYD LPN

MEDICARE: LINDA JEAN LLOYD LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse42086PRSC

General Provider Information

NPI Number : 1164988564
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA JEAN LLOYD LPN
Provider Business Mailing Address
First Line : 156 GLENMOOR DR
Second Line :
City : CONWAY
State : SC
Zip : 29526-2645
Country : US
Telephone Number : 843-901-1961
Fax Number :
Provider Business Practice Location Address
First Line : 104 GEORGE BISHOP PKWY
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29579-7335
Country : US
Telephone Number : 843-903-6212
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2019
Last Update Date : 02/11/2019

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Directions to “ LINDA JEAN LLOYD LPN” Practice Location

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