Provider Demographics
NPI:1477954386
Name:WRIGHT, LLOYD HENRY (HIS)
Entity Type:Individual
Prefix:MR
First Name:LLOYD
Middle Name:HENRY
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 FACTORY AVE. N.
Mailing Address - Street 2:STE. 2B
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-5579
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:108 FACTORY AVE. N.
Practice Address - Street 2:STE. 2B
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-5579
Practice Address - Country:US
Practice Address - Phone:425-251-5477
Practice Address - Fax:425-272-0330
Is Sole Proprietor?:No
Enumeration Date:2014-09-10
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAHA60315851237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist