Provider Demographics
NPI:1790808913
Name:LLOYD, BRINEGAR, SHORT AND ASSOCIATES
Entity Type:Organization
Organization Name:LLOYD, BRINEGAR, SHORT AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:LLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-703-6123
Mailing Address - Street 1:PO BOX 557
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83653-0557
Mailing Address - Country:US
Mailing Address - Phone:208-461-8377
Mailing Address - Fax:208-461-1702
Practice Address - Street 1:1736 GARRITY BLVD # B
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83687-6910
Practice Address - Country:US
Practice Address - Phone:208-461-8377
Practice Address - Fax:208-461-1702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management