MEDICARE: DR. HENRY LOK DO

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	208VP0000X	Pain Medicine Physician	OS14361	FL
2	208VP0014X	Interventional Pain Medicine Physician	OS14361	FL
3	208VP0014X	Interventional Pain Medicine Physician	DO2510	NV
4	208VP0000X	Pain Medicine Physician	DO2510	NV
5	171100000X	Acupuncturist
6	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	DO2510	NV
7	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	OS14361	FL
8	207Q00000X	Family Medicine Physician	DO2510	NV
9	207Q00000X	Family Medicine Physician	OS14361	FL

General Provider Information

NPI Number	:	1033501671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HENRY LOK DO

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	:	702-732-1063
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
Country	:	US
Telephone Number	:	702-732-1063
Fax Number	:	702-732-0179

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

Provider Enumeration Date	:	02/18/2015
Last Update Date	:	02/03/2022

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Directions to “ DR. HENRY LOK DO” Practice Location

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