Provider Demographics
NPI:1689263105
Name:LLOYD, SEAMEAH (COSMETOLOGIST)
Entity Type:Individual
Prefix:
First Name:SEAMEAH
Middle Name:
Last Name:LLOYD
Suffix:
Gender:F
Credentials:COSMETOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 US HIGHWAY 30 UNIT C1
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-8974
Mailing Address - Country:US
Mailing Address - Phone:702-680-3373
Mailing Address - Fax:
Practice Address - Street 1:2400 US HIGHWAY 30 UNIT C1
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-8974
Practice Address - Country:US
Practice Address - Phone:702-680-3373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-11
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVC-534821744P3200X
IL011.3265081744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management