Most Relevant Information
Provider Data
| NPI Number: | 1003027996 |
| Provider Name: | JEFF MICHAEL LLOYD LPT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | PT 22741 |
Most Important Dates
| Enumeration Date: | 05/24/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2945 MCMILLAN AVE
SUITE 136
SAN LUIS OBISPO
CA
934016766
Practice Location Phone/Fax
| Phone: | 8057814286 |
| Fax: |
Provider Mailing Location
PO BOX 13641
SAN LUIS OBISPO
CA
934063641
Provider Mailing Phone/Fax
| Phone: | 8055414834 |
| Fax: |