MEDICARE: JOHN D LLOYD MA

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	101YM0800X	Mental Health Counselor	LH 60118130	WA

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	:	1821159914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN D LLOYD MA

Provider Business Mailing Address
First Line	:	1000 W STEUBEN ST
Second Line	:
City	:	BINGEN
State	:	WA
Zip	:	98605-9175
Country	:	US
Telephone Number	:	509-493-1143
Fax Number	:	877-644-1937

Provider Business Practice Location Address
First Line	:	1000 W STEUBEN ST
Second Line	:
City	:	BINGEN
State	:	WA
Zip	:	98605-9175
Country	:	US
Telephone Number	:	509-493-1143
Fax Number	:	877-644-1937

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

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	03/01/2011

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Directions to “ JOHN D LLOYD MA” Practice Location

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