Healthcare Provider Details

I. General information

NPI: 1982133302
Provider Name (Legal Business Name): TAMIKA LLOYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MRS. TAMIKA HOPKINS

II. Dates (important events)

Enumeration Date: 06/08/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6002 BAY HILL CT
ROMULUS MI
48174
US

IV. Provider business mailing address

6002 BAY HILL CT
ROMULUS MI
48174-6424
US

V. Phone/Fax

Practice location:
  • Phone: 734-494-0577
  • Fax: 734-895-3457
Mailing address:
  • Phone: 734-494-0577
  • Fax: 734-895-3457

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: