Provider Demographics
NPI:1770153785
Name:ADJUST CLINIC A LLOYD CHIROPRACTIC CORPORATION
Entity type:Organization
Organization Name:ADJUST CLINIC A LLOYD CHIROPRACTIC CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:LLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:707-337-0606
Mailing Address - Street 1:3100 LAKEVILLE HWY STE D
Mailing Address - Street 2:
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94954-6959
Mailing Address - Country:US
Mailing Address - Phone:707-337-0606
Mailing Address - Fax:
Practice Address - Street 1:3100 LAKEVILLE HWY STE D
Practice Address - Street 2:
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94954-6959
Practice Address - Country:US
Practice Address - Phone:707-337-0606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-30
Last Update Date:2022-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center