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Individual

KATHLEEN LLOYD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3000 ESSEX RD, TINTON FALLS, NJ 07753-2631
(732) 643-2070
(732) 643-2015
Mailing address
9900 BREN RD E, MINNETONKA, MN 55343-9664

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN05956100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04-09467
EVERCARE
01
522114204C
BCBS OF NJ
05
7244304
NJ
Enumeration date
07/07/2006
Last updated
06/27/2020
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