Individual
MALLORY LLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
808 E PIERCE ST, COUNCIL BLUFFS, IA 51503-4600
(402) 740-6503
Mailing address
4519 WOOLWORTH AVE, OMAHA, NE 68106-2051
(402) 740-6503
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A160039
IA
Other
Enumeration date
07/09/2020
Last updated
07/29/2020
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