Healthcare Provider Details

I. General information

NPI: 1417970989
Provider Name (Legal Business Name): SUSAN R. LLOYD AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 LAS VEGAS BLVD N MIKE O'CALLAGHAN FEDERAL HOSPITAL
NELLIS AFB NV
89191-6600
US

IV. Provider business mailing address

4700 LAS VEGAS BLVD N MIKE O'CALLAGHAN FEDERAL HOSPITAL
NELLIS AFB NV
89191-6600
US

V. Phone/Fax

Practice location:
  • Phone: 702-653-2020
  • Fax: 702-653-3038
Mailing address:
  • Phone: 702-653-2020
  • Fax: 702-653-3038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA-28
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberHAS-42
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: