Provider Demographics
NPI:1467060301
Name:LLOYD, ROY ALLEN
Entity Type:Individual
Prefix:
First Name:ROY
Middle Name:ALLEN
Last Name:LLOYD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 ANVIL DR APT B
Mailing Address - Street 2:
Mailing Address - City:GREEN RIVER
Mailing Address - State:WY
Mailing Address - Zip Code:82935-5487
Mailing Address - Country:US
Mailing Address - Phone:307-371-6304
Mailing Address - Fax:
Practice Address - Street 1:345 ANVIL DR APT B
Practice Address - Street 2:
Practice Address - City:GREEN RIVER
Practice Address - State:WY
Practice Address - Zip Code:82935-5487
Practice Address - Country:US
Practice Address - Phone:307-371-6304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-16
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management