Provider Demographics
NPI:1437408523
Name:LLOYD, JOSHUA C (ND, LN)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:C
Last Name:LLOYD
Suffix:
Gender:M
Credentials:ND, LN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8301 SPAIN RD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-3166
Mailing Address - Country:US
Mailing Address - Phone:505-821-6663
Mailing Address - Fax:
Practice Address - Street 1:8301 SPAIN RD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109
Practice Address - Country:US
Practice Address - Phone:505-821-6663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-05
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMLN-1084133N00000X, 133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0990090781OtherVERMONT STATE LICENSE
NH94OtherNATUROPATHIC STATE LICENSE
NMLN - 1084OtherLICENSED NUTRITIONIST