Provider Demographics
NPI:1770914111
Name:LLOYD, PATRICIA (MSL)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:
Last Name:LLOYD
Suffix:
Gender:F
Credentials:MSL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7907 GLENCANNON DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28227-7461
Mailing Address - Country:US
Mailing Address - Phone:704-488-5555
Mailing Address - Fax:
Practice Address - Street 1:2012 HIGHWAY 160 W
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708-8401
Practice Address - Country:US
Practice Address - Phone:980-355-0769
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-11
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator