Provider Demographics
NPI:1558153437
Name:LLOYD, JEAN DORING
Entity type:Individual
Prefix:
First Name:JEAN
Middle Name:DORING
Last Name:LLOYD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 99
Mailing Address - Street 2:
Mailing Address - City:RAINBOW LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12976-0099
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:519 COUNTY ROUTE 60
Practice Address - Street 2:
Practice Address - City:RAINBOW LAKE
Practice Address - State:NY
Practice Address - Zip Code:12976-7724
Practice Address - Country:US
Practice Address - Phone:703-261-5179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist