Provider Demographics
NPI:1366433245
Name:LLOYD, RYAN TODD (DC)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:TODD
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 1:961 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SONOMA
Mailing Address - State:CA
Mailing Address - Zip Code:95476-7403
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:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-31
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28320111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor