Provider Demographics
NPI:1932778073
Name:LLOYD, LINDSAY RAE (RN)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:RAE
Last Name:LLOYD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5370 E BALDWIN RD
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-9532
Mailing Address - Country:US
Mailing Address - Phone:810-606-9950
Mailing Address - Fax:810-606-9951
Practice Address - Street 1:5370 E BALDWIN RD
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-9532
Practice Address - Country:US
Practice Address - Phone:810-606-9950
Practice Address - Fax:810-606-9951
Is Sole Proprietor?:No
Enumeration Date:2021-06-23
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704307180163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse