1033303110 NPI number — DR. BRIDGET MARIE LLOYD PHARMD

Table of content: DR. BRIDGET MARIE LLOYD PHARMD (NPI 1033303110)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033303110 NPI number — DR. BRIDGET MARIE LLOYD PHARMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LLOYD
Provider First Name:
BRIDGET
Provider Middle Name:
MARIE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHARMD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FACTOR
Provider Other First Name:
BRIDGET
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHARMD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1033303110
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/28/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2575 W BROAD ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COLUMBUS
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43204-3333
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-278-9666
Provider Business Mailing Address Fax Number:
614-278-2385

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2575 W BROAD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43204-3333
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-278-9666
Provider Business Practice Location Address Fax Number:
614-278-2385
Provider Enumeration Date:
08/31/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  03228147 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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