Individual
MR. RANDY EUGENE LLOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
14602 W SOUTHPORT RD, BRIMFIELD, IL 61517-9372
(309) 446-3974
Mailing address
14602 W SOUTHPORT RD, BRIMFIELD, IL 61517-9372
(309) 446-3974
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227005116
IL
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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