Healthcare Provider Details
I. General information
NPI: 1316497563
Provider Name (Legal Business Name): LISA LLOYD NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 10/12/2016
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7321 E LONG RIFLE RD
CAREFREE AZ
85377-4535
US
IV. Provider business mailing address
PO BOX 3698
CAREFREE AZ
85377-3698
US
V. Phone/Fax
- Phone: 240-498-2927
- Fax: 480-264-6404
- Phone: 240-498-2927
- Fax: 480-264-6404
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | 24381 |
| License Number State | AZ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | R200640 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: