MEDICARE: MRS. NATALIE ANNE 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
1	133V00000X	Registered Dietitian	1088791	CA

General Provider Information

NPI Number	:	1932469830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NATALIE ANNE LLOYD

Provider Business Mailing Address
First Line	:	4435 E OCEAN BLVD
Second Line	:	#17
City	:	LONG BEACH
State	:	CA
Zip	:	90803-3008
Country	:	US
Telephone Number	:	949-637-3627
Fax Number	:

Provider Business Practice Location Address
First Line	:	4435 E OCEAN BLVD
Second Line	:	#17
City	:	LONG BEACH
State	:	CA
Zip	:	90803-3008
Country	:	US
Telephone Number	:	949-637-3627
Fax Number	:

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

Provider Enumeration Date	:	05/24/2012
Last Update Date	:	05/24/2012

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