Provider Demographics
NPI:1932469830
Name:LLOYD, NATALIE ANNE
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:ANNE
Last Name:LLOYD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4435 E OCEAN BLVD
Mailing Address - Street 2:#17
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-3008
Mailing Address - Country:US
Mailing Address - Phone:949-637-3627
Mailing Address - Fax:
Practice Address - Street 1:4435 E OCEAN BLVD
Practice Address - Street 2:#17
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-3008
Practice Address - Country:US
Practice Address - Phone:949-637-3627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-24
Last Update Date:2012-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1088791133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered