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NPI Code Detail

MEDICARE: DANIEL C LAI D.C.

MEDICARE: DANIEL C LAI D.C.
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
1111N00000XChiropractorB02007NV
2111N00000XChiropractorDC 27250CA

General Provider Information

NPI Number : 1083650220
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL C LAI D.C.
Provider Business Mailing Address
First Line : 837 FULFORD CT
Second Line :
City : HENDERSON
State : NV
Zip : 89052-3816
Country : US
Telephone Number : 626-757-3173
Fax Number :
Provider Business Practice Location Address
First Line : 6330 SPRING MOUNTAIN RD STE C
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-8843
Country : US
Telephone Number : 702-873-2261
Fax Number : 702-873-2267
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2006
Last Update Date : 12/19/2014

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