Provider Demographics
NPI:1962043455
Name:LLOYD, AMANDA JENNIFER (PA)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:JENNIFER
Last Name:LLOYD
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 ANDOVER LN
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-1230
Mailing Address - Country:US
Mailing Address - Phone:732-609-4211
Mailing Address - Fax:
Practice Address - Street 1:147 ANDOVER LN
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:NJ
Practice Address - Zip Code:07747-1230
Practice Address - Country:US
Practice Address - Phone:732-609-4211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-04
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical