Provider Demographics
NPI:1932495538
Name:LLOYD, DONNY RAY
Entity Type:Individual
Prefix:MR
First Name:DONNY
Middle Name:RAY
Last Name:LLOYD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5020 CARDINAL CT
Mailing Address - Street 2:
Mailing Address - City:FAIRBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30213-4412
Mailing Address - Country:US
Mailing Address - Phone:770-983-8151
Mailing Address - Fax:888-503-7573
Practice Address - Street 1:5020 CARDINAL CT
Practice Address - Street 2:
Practice Address - City:FAIRBURN
Practice Address - State:GA
Practice Address - Zip Code:30213-4412
Practice Address - Country:US
Practice Address - Phone:770-983-8151
Practice Address - Fax:888-503-7573
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-22
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist