Provider Demographics
NPI:1174091631
Name:LLOYD, LAQUISHA QUINCHELE (LPN)
Entity type:Individual
Prefix:
First Name:LAQUISHA
Middle Name:QUINCHELE
Last Name:LLOYD
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2247 PETER DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46229-1979
Mailing Address - Country:US
Mailing Address - Phone:317-540-0838
Mailing Address - Fax:
Practice Address - Street 1:2247 PETER DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46229-1979
Practice Address - Country:US
Practice Address - Phone:317-540-0838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-02
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN27065820A164W00000X
INHHA0802210251E00000X
343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No251E00000XAgenciesHome Health