Provider Demographics
NPI:1811007891
Name:LLOYD, ERIKA C (MD)
Entity Type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:C
Last Name:LLOYD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:CHRISTINE
Other - Last Name:LLOYD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1434 E. 4500 S.
Mailing Address - Street 2:#200
Mailing Address - City:SLC
Mailing Address - State:UT
Mailing Address - Zip Code:84117
Mailing Address - Country:US
Mailing Address - Phone:801-263-8511
Mailing Address - Fax:801-266-7243
Practice Address - Street 1:1434 E. 4500 S.
Practice Address - Street 2:#200
Practice Address - City:SLC
Practice Address - State:UT
Practice Address - Zip Code:84117
Practice Address - Country:US
Practice Address - Phone:801-263-8511
Practice Address - Fax:801-266-7243
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT277561-1205208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
G69427Medicare UPIN
UT020043871Medicare PIN
000012022Medicare ID - Type Unspecified