Provider Demographics
NPI:1013516160
Name:LLOYD, EMILY ABIGAIL
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ABIGAIL
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 1:12261 PENDER CREEK CIR APT D
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-3932
Mailing Address - Country:US
Mailing Address - Phone:703-268-9295
Mailing Address - Fax:
Practice Address - Street 1:1715 N GEORGE MASON DR STE 504
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3670
Practice Address - Country:US
Practice Address - Phone:703-525-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA5146246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant