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NPI Code Detail

MEDICARE: JASON LOVAAS DC

MEDICARE: JASON LOVAAS DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorB00685NV

General Provider Information

NPI Number : 1013942911
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON LOVAAS DC
Provider Business Mailing Address
First Line : 7251 W LAKE MEAD BLVD STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-8380
Country : US
Telephone Number : 702-457-5600
Fax Number : 702-562-4372
Provider Business Practice Location Address
First Line : 7251 W LAKE MEAD BLVD STE 300
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-8380
Country : US
Telephone Number : 702-457-5600
Fax Number : 702-562-4372
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 07/08/2007

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Directions to “ JASON LOVAAS DC” Practice Location

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