Provider Demographics
NPI:1881034338
Name:DR. LLOYD DECKER LLC PC
Entity Type:Organization
Organization Name:DR. LLOYD DECKER LLC PC
Other - Org Name:SOUTH MEADOWS CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:
Authorized Official - Last Name:DECKER
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:775-683-9026
Mailing Address - Street 1:9437 DOUBLE DIAMOND PKWY STE 18
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-8968
Mailing Address - Country:US
Mailing Address - Phone:775-683-9026
Mailing Address - Fax:
Practice Address - Street 1:9437 DOUBLE DIAMOND PKWY STE 18
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-8968
Practice Address - Country:US
Practice Address - Phone:775-683-9026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-28
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01654111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty