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NPI Code Detail

MEDICARE: LISA LLOYD

MEDICARE: LISA LLOYD
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
1225200000XPhysical Therapy Assistant09386OH

General Provider Information

NPI Number : 1720741507
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA LLOYD
Provider Business Mailing Address
First Line : 33225 WAGON WHEEL DR
Second Line :
City : SOLON
State : OH
Zip : 44139-2337
Country : US
Telephone Number : 216-870-8579
Fax Number :
Provider Business Practice Location Address
First Line : 200 HAMLET HILLS DR
Second Line :
City : CHAGRIN FALLS
State : OH
Zip : 44022-2870
Country : US
Telephone Number : 440-297-2107
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2021
Last Update Date : 10/18/2021

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