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General NPI Number Information
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NPI Number | 1316497563
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Entity Type | Individual
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Provider Name | LISA LLOYD NP
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Gender | Female
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Dates
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Enumeration Date | 10/12/2016
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Last Update Date | 09/22/2022
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Provider Practice Location Address
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Address Line | 7321 E LONG RIFLE RD
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City | CAREFREE
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State | AZ
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Zip | 85377-4535
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Country | US
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Telephone | 240-498-2927
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Fax | 480-264-6404
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Provider Business Mailing Address
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Address Line | PO BOX 3698
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City | CAREFREE
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State | AZ
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Zip | 85377-3698
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Country | US
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Telephone | 240-498-2927
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Fax | 480-264-6404
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R200640
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 24381
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License Number State | AZ
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