Provider Demographics
NPI:1851546279
Name:LOY, LAMONT STUART (DC)
Entity Type:Individual
Prefix:DR
First Name:LAMONT
Middle Name:STUART
Last Name:LOY
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 1:1349 CAMINO DEL MAR
Mailing Address - Street 2:SUITE F
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-2553
Mailing Address - Country:US
Mailing Address - Phone:858-793-1104
Mailing Address - Fax:858-793-1604
Practice Address - Street 1:1349 CAMINO DEL MAR
Practice Address - Street 2:SUITE F
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-2553
Practice Address - Country:US
Practice Address - Phone:858-793-1104
Practice Address - Fax:858-793-1604
Is Sole Proprietor?:No
Enumeration Date:2008-11-26
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18277111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC18277Medicare UPIN