Provider Demographics
NPI:1609659523
Name:LLOYD, TOMIKO (CNA)
Entity Type:Individual
Prefix:
First Name:TOMIKO
Middle Name:
Last Name:LLOYD
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:986 FARNSWORTH DR
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:SC
Mailing Address - Zip Code:29061-8249
Mailing Address - Country:US
Mailing Address - Phone:803-920-5077
Mailing Address - Fax:
Practice Address - Street 1:986 FARNSWORTH DR
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:SC
Practice Address - Zip Code:29061-8249
Practice Address - Country:US
Practice Address - Phone:803-920-5077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-15
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC007051155172A00000X, 172A00000X
172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver