MEDICARE: DR. DEVIN J LUZOD 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
1	111N00000X	Chiropractor	0101001052560	NV

General Provider Information

NPI Number	:	1184807893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEVIN J LUZOD D.C.

Provider Business Mailing Address
First Line	:	8910 W TROPICANA AVE
Second Line	:	SUITE 6
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-8131
Country	:	US
Telephone Number	:	702-944-4673
Fax Number	:	702-944-4672

Provider Business Practice Location Address
First Line	:	8910 W TROPICANA AVE
Second Line	:	SUITE 6
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-8131
Country	:	US
Telephone Number	:	702-944-4673
Fax Number	:	702-944-4672

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2007
Last Update Date	:	12/17/2007

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