Healthcare Provider Details

I. General information

NPI: 1861510588
Provider Name (Legal Business Name): DR. LO'S PAIN CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 S DECATUR BLVD
LAS VEGAS NV
89107-3914
US

IV. Provider business mailing address

701 S DECATUR BLVD
LAS VEGAS NV
89107-3914
US

V. Phone/Fax

Practice location:
  • Phone: 702-878-9237
  • Fax:
Mailing address:
  • Phone: 702-878-9237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberB-845
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number61
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number62
License Number StateNV

VIII. Authorized Official

Name: DR. JAMES LO
Title or Position: OFFICE MANAGER
Credential: D.C.
Phone: 702-878-9237