Provider Demographics
NPI:1225588072
Name:LLOYD, TERRA (RN)
Entity Type:Individual
Prefix:
First Name:TERRA
Middle Name:
Last Name:LLOYD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 6TH ST
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-5034
Mailing Address - Country:US
Mailing Address - Phone:605-394-1841
Mailing Address - Fax:605-394-1739
Practice Address - Street 1:300 6TH ST
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-5034
Practice Address - Country:US
Practice Address - Phone:605-394-1841
Practice Address - Fax:605-394-1739
Is Sole Proprietor?:No
Enumeration Date:2016-10-05
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDR040672163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse