MEDICARE: LOK ACUPUNCTURE CLINIC, LTD

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	171100000X	Acupuncturist	30	NV

General Provider Information

NPI Number	:	1770896458
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOK ACUPUNCTURE CLINIC, LTD

Provider Business Mailing Address
First Line	:	1818 E DESERT INN RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-3209
Country	:	US
Telephone Number	:	702-732-0178
Fax Number	:	702-732-0179

Provider Business Practice Location Address
First Line	:	1818 E DESERT INN RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-3209
Country	:	US
Telephone Number	:	702-732-0178
Fax Number	:	702-732-0179

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PETER LOK
Credential	:	OMD
Telephone Number	:	702-732-0178

Provider Enumeration Date	:	07/22/2010
Last Update Date	:	07/22/2010

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