Individual
MACK U LLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 ALDERGATE DR, LEXINGTON, SC 29073-9781
(208) 360-2002
Mailing address
208 ALDERGATE DR, LEXINGTON, SC 29073-9781
(208) 360-2002
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
254424
SC
367500000X
Certified Registered Nurse Anesthetist
R54336
ND
Other
Enumeration date
06/05/2021
Last updated
09/24/2025
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