Healthcare Provider Details

I. General information

NPI: 1033501671
Provider Name (Legal Business Name): HENRY LOK DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2015
Last Update Date: 02/03/2022
Certification Date: 02/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 E DESERT INN RD
LAS VEGAS NV
89169
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 702-732-1063
  • Fax: 702-732-0179
Mailing address:
  • Phone: 702-732-1063
  • Fax: 702-732-0179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberOS14361
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberOS14361
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberDO2510
License Number StateNV
# 4
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberDO2510
License Number StateNV
# 5
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License NumberDO2510
License Number StateNV
# 7
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License NumberOS14361
License Number StateFL
# 8
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO2510
License Number StateNV
# 9
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS14361
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: