Organization
SONOSPINE DC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK LLOYD (OWNER)
(888) 957-7463
Entity
Organization
Contact information
Practice address
1750 TYSONS BLVD STE 110, MC LEAN, VA 22102-4227
(909) 999-9999
Mailing address
1750 TYSONS BLVD STE 110, MC LEAN, VA 22102-4227
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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