Healthcare Provider Details

I. General information

NPI: 1790409449
Provider Name (Legal Business Name): JULIA LLOYD MPH, RD, LDN, CDCES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2022
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 STANIFORD ST FL 10
BOSTON MA
02114-2517
US

IV. Provider business mailing address

425 SUTTER ST STE 1400
SAN FRANCISCO CA
94108-4608
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-7391
  • Fax: 859-257-0659
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number261140
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberLDN6651
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: