Provider Demographics
NPI:1295870236
Name:LLOYD, TIMOTHY L (DC)
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:L
Last Name:LLOYD
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 1:29101 HUFFORD RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-2872
Mailing Address - Country:US
Mailing Address - Phone:419-874-9355
Mailing Address - Fax:419-874-9344
Practice Address - Street 1:29101 HUFFORD RD
Practice Address - Street 2:SUITE 106
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-2872
Practice Address - Country:US
Practice Address - Phone:419-874-9355
Practice Address - Fax:419-874-9344
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2649111N00000X
MI2301007589111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor