Provider Demographics
NPI:1184014623
Name:HOLMES, LLOYD CARLTON JR (DC)
Entity Type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:CARLTON
Last Name:HOLMES
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1760 RESTON PKWY
Mailing Address - Street 2:STE 310
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-3359
Mailing Address - Country:US
Mailing Address - Phone:703-471-4600
Mailing Address - Fax:
Practice Address - Street 1:1760 RESTON PKWY
Practice Address - Street 2:STE 310
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-3359
Practice Address - Country:US
Practice Address - Phone:703-471-4600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-04
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557310111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty