MEDICARE: DR. DEVIN J LUZOD INC

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	111N00000X	Chiropractor	6133627-1202	UT

General Provider Information

NPI Number	:	1649528266
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. DEVIN J LUZOD INC

Provider Business Mailing Address
First Line	:	1930 VILLAGE CENTER CIR STE 11
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-6238
Country	:	US
Telephone Number	:	702-944-4673
Fax Number	:

Provider Business Practice Location Address
First Line	:	1930 VILLAGE CENTER CIR STE 11
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89134-6238
Country	:	US
Telephone Number	:	702-944-4673
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DEVIN LUZOD
Credential	:	DC
Telephone Number	:	702-566-4673

Provider Enumeration Date	:	08/29/2012
Last Update Date	:	08/28/2020

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