MEDICARE: JESSICA LYNN LLOYD MD

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
1	2080P0203X	Pediatric Critical Care Medicine Physician	M8801	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639177181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA LYNN LLOYD MD

Provider Business Mailing Address
First Line	:	1935 MEDICAL DISTRICT DR
Second Line	:	CHILDREN'S MEDICAL CENTER DALLAS - HOSPITALIST DIVISION
City	:	DALLAS
State	:	TX
Zip	:	75235-7701
Country	:	US
Telephone Number	:	214-456-5743
Fax Number	:	214-456-4486

Provider Business Practice Location Address
First Line	:	1935 MEDICAL DISTRICT DR
Second Line	:	CHILDREN'S MEDICAL CENTER DALLAS - HOSPITALIST DIVISION
City	:	DALLAS
State	:	TX
Zip	:	75235-7701
Country	:	US
Telephone Number	:	214-456-5743
Fax Number	:	214-456-4486

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	10/13/2009

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