Healthcare Provider Details

I. General information

NPI: 1770896458
Provider Name (Legal Business Name): LOK ACUPUNCTURE CLINIC, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2010
Last Update Date: 07/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 E DESERT INN RD
LAS VEGAS NV
89169-3209
US

IV. Provider business mailing address

1818 E DESERT INN RD
LAS VEGAS NV
89169-3209
US

V. Phone/Fax

Practice location:
  • Phone: 702-732-0178
  • Fax: 702-732-0179
Mailing address:
  • Phone: 702-732-0178
  • Fax: 702-732-0179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number30
License Number StateNV

VIII. Authorized Official

Name: DR. PETER LOK
Title or Position: PRESIDENT
Credential: OMD
Phone: 702-732-0178