Provider Demographics
NPI:1396756631
Name:SPIERS, LLOYD DENTON (DC)
Entity type:Individual
Prefix:MR
First Name:LLOYD
Middle Name:DENTON
Last Name:SPIERS
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 1:5128 OLD HWY 11
Mailing Address - Street 2:STE 1
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402
Mailing Address - Country:US
Mailing Address - Phone:601-261-9495
Mailing Address - Fax:601-261-6997
Practice Address - Street 1:5128 OLD HWY 11
Practice Address - Street 2:STE 1
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402
Practice Address - Country:US
Practice Address - Phone:601-261-9495
Practice Address - Fax:601-261-6997
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS956111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00119590Medicaid
MS350000277Medicare ID - Type Unspecified
MS00119590Medicaid