Most Relevant Information
Provider Data
| NPI Number: | 1003683228 |
| Provider Name: | LLOYTAISA KINGSBURY |
| Entity Type: | Individual |
| Taxonomy Code: | 246RP1900X |
| Specialty: | Technician, Pathology |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/07/2023 |
| Last Updated: | 12/07/2023 |
Provider Practice Location
2759 MARTIN LUTHER KING JR AVE SE
WASHINGTON
DC
200322646
Practice Location Phone/Fax
| Phone: | 2028279961 |
| Fax: | 2028279963 |
Provider Mailing Location
2759 MARTIN LUTHER KING JR AVE SE
WASHINGTON
DC
200322646
Provider Mailing Phone/Fax
| Phone: | 2028279961 |
| Fax: | 2028279963 |