Provider Demographics
NPI:1346575198
Name:LLOYD, THOMAS DWIGHT III (DC)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:DWIGHT
Last Name:LLOYD
Suffix:III
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 1:9350 UNIVERSITY AVE
Mailing Address - Street 2:SUITE #114
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-1646
Mailing Address - Country:US
Mailing Address - Phone:515-987-0767
Mailing Address - Fax:888-504-5490
Practice Address - Street 1:9350 UNIVERSITY AVE
Practice Address - Street 2:SUITE #114
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-1646
Practice Address - Country:US
Practice Address - Phone:515-490-0787
Practice Address - Fax:888-504-5490
Is Sole Proprietor?:No
Enumeration Date:2009-10-13
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11191111N00000X
IA007212111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor