MEDICARE: MRS. ERIKA C LLOYD M.D.

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	208600000X	Surgery Physician	277561-1205	UT

General Provider Information

NPI Number	:	1811007891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERIKA C LLOYD M.D.

Provider Business Mailing Address
First Line	:	1434 E. 4500 S.
Second Line	:	#200
City	:	SLC
State	:	UT
Zip	:	84117
Country	:	US
Telephone Number	:	801-263-8511
Fax Number	:	801-266-7243

Provider Business Practice Location Address
First Line	:	1434 E. 4500 S.
Second Line	:	#200
City	:	SLC
State	:	UT
Zip	:	84117
Country	:	US
Telephone Number	:	801-263-8511
Fax Number	:	801-266-7243

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	05/21/2014

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