Provider Demographics
NPI:1922279355
Name:LLOYD, SUSAN PRICE (DC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:PRICE
Last Name:LLOYD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:PRICE
Other - Last Name:LLOYD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 358
Mailing Address - Street 2:
Mailing Address - City:ASHBURNHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01430-0358
Mailing Address - Country:US
Mailing Address - Phone:978-827-9938
Mailing Address - Fax:978-827-9938
Practice Address - Street 1:54 WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-3276
Practice Address - Country:US
Practice Address - Phone:978-537-0555
Practice Address - Fax:978-537-2193
Is Sole Proprietor?:No
Enumeration Date:2008-03-13
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA406111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY35242Medicare UPIN