Individual
LOUISE W LLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TRANSPORTATION PROVI
Contact information
Practice address
613 MAIN ST, GREENVILLE, MS 38701-4063
(662) 207-0903
(662) 580-5121
Mailing address
613 MAIN ST, GREENVILLE, MS 38701-4063
(662) 207-0903
(662) 580-5121
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
801240644
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8843
NON-EMERGENCY TRANSPORTATION
—
Enumeration date
05/08/2018
Last updated
05/08/2018
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