Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | NPF16933 | CA |
NPI | 1003029315 |
---|---|
Provider Name | Emily Duane Lloyd |
First Address | Oakland, CA 94601-2322 |
Second Address | Oakland, CA 94606-3730 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 08/07/2007 |