Provider Demographics
NPI:1528015484
Name:TOLK, LLOYD ANDREW (DC)
Entity Type:Individual
Prefix:DR
First Name:LLOYD
Middle Name:ANDREW
Last Name:TOLK
Suffix:
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 1:102 HOPMEADOW ST
Mailing Address - Street 2:
Mailing Address - City:WEATOGUE
Mailing Address - State:CT
Mailing Address - Zip Code:06089-9602
Mailing Address - Country:US
Mailing Address - Phone:860-651-3521
Mailing Address - Fax:860-651-6149
Practice Address - Street 1:102 HOPMEADOW ST
Practice Address - Street 2:
Practice Address - City:WEATOGUE
Practice Address - State:CT
Practice Address - Zip Code:06089-9602
Practice Address - Country:US
Practice Address - Phone:860-651-3521
Practice Address - Fax:860-651-6149
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000302111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT062465OtherCONNETICARE
CT567862OtherAETNA
CT609874OtherUNITED HEALTHCARE
CT609874OtherUNITED HEALTHCARE