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NPI Code Detail

MEDICARE: MRS. DONNA MARIE LLOYD FNP - BC

MEDICARE:  MRS. DONNA MARIE LLOYD  FNP - BC
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
1363LP2300XPrimary Care Nurse Practitioner1215014TX

General Provider Information

NPI Number : 1295600864
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DONNA MARIE LLOYD FNP - BC
Provider Business Mailing Address
First Line : 299 SCENIC LAKE CT
Second Line :
City : MONTGOMERY
State : TX
Zip : 77316-4501
Country : US
Telephone Number : 936-588-3514
Fax Number :
Provider Business Practice Location Address
First Line : 920 PINE MARKET AVE STE 100
Second Line :
City : MONTGOMERY
State : TX
Zip : 77316-5023
Country : US
Telephone Number : 936-588-3514
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2025
Last Update Date : 10/06/2025

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