Provider Demographics
NPI:1417970989
Name:LLOYD, SUSAN R (AUD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:R
Last Name:LLOYD
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 LAS VEGAS BLVD N
Mailing Address - Street 2:MIKE O'CALLAGHAN FEDERAL HOSPITAL
Mailing Address - City:NELLIS AFB
Mailing Address - State:NV
Mailing Address - Zip Code:89191-6600
Mailing Address - Country:US
Mailing Address - Phone:702-653-2020
Mailing Address - Fax:702-653-3038
Practice Address - Street 1:4700 LAS VEGAS BLVD N
Practice Address - Street 2:MIKE O'CALLAGHAN FEDERAL HOSPITAL
Practice Address - City:NELLIS AFB
Practice Address - State:NV
Practice Address - Zip Code:89191-6600
Practice Address - Country:US
Practice Address - Phone:702-653-2020
Practice Address - Fax:702-653-3038
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVA-28231H00000X
NVHAS-42237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Not Answered237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVWQBHV32189Medicare ID - Type Unspecified
NVS83663Medicare UPIN