Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NS0005X | Chiropractic Sports Physician | 2837 | CO |
N | 111NS0005X | Chiropractic Sports Physician | 4474 | TX |
Y | 111NS0005X | Chiropractic Sports Physician | CR695 | ME |
NPI | 1265554018 |
---|---|
Provider Name | Dr. Chester G. Lloyd |
First Address | Bar Harbor, ME 04609-1806 |
Second Address | Bar Harbor, ME 04609-1811 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2007 |
Last Update Date | 08/07/2007 |