MEDICARE: LORI LLOYD L.AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	CO1335	CO
2	171100000X	Acupuncturist	316	ID

General Provider Information

NPI Number	:	1285868505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI LLOYD L.AC.

Provider Business Mailing Address
First Line	:	112 ASPEN MEADOWS RD
Second Line	:	UNIT 41
City	:	DRIGGS
State	:	ID
Zip	:	83422-5352
Country	:	US
Telephone Number	:	208-920-0312
Fax Number	:

Provider Business Practice Location Address
First Line	:	76 N MAIN ST
Second Line	:	STE. 204
City	:	DRIGGS
State	:	ID
Zip	:	83422-5125
Country	:	US
Telephone Number	:	208-920-0312
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2009
Last Update Date	:	07/17/2015

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Directions to “ LORI LLOYD L.AC.” Practice Location

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