Provider Demographics
NPI:1669437034
Name:LLOYD, JOHN C (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:C
Last Name:LLOYD
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:1389 HUFFMAN PARK DR
Mailing Address - Street 2:SUITE #140
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-3534
Mailing Address - Country:US
Mailing Address - Phone:907-222-6122
Mailing Address - Fax:907-205-5740
Practice Address - Street 1:1389 HUFFMAN PARK DR
Practice Address - Street 2:SUITE #140
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-3534
Practice Address - Country:US
Practice Address - Phone:907-222-6122
Practice Address - Fax:907-205-5740
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2016-05-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO4619111N00000X
AK104873111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO804516Medicare PIN