Provider Demographics
NPI:1245356559
Name:LLOYD, EPHRAIM PAUL (ACA, BC HIS)
Entity type:Individual
Prefix:
First Name:EPHRAIM
Middle Name:PAUL
Last Name:LLOYD
Suffix:
Gender:M
Credentials:ACA, BC HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1817 S MAIN ST
Mailing Address - Street 2:#7
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84115-2036
Mailing Address - Country:US
Mailing Address - Phone:801-485-5595
Mailing Address - Fax:
Practice Address - Street 1:1817 S MAIN ST
Practice Address - Street 2:#7
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84115-2036
Practice Address - Country:US
Practice Address - Phone:801-485-5595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3094025-4601174400000X, 237700000X
237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
No174400000XOther Service ProvidersSpecialist