Provider Demographics
NPI:1326137878
Name:CHO, LAWRENCE (DC)
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:
Last Name:CHO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2389 RENAISSANCE DR STE A
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-6154
Mailing Address - Country:US
Mailing Address - Phone:702-739-9919
Mailing Address - Fax:702-739-3404
Practice Address - Street 1:2389 RENAISSANCE DR STE A
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-6154
Practice Address - Country:US
Practice Address - Phone:702-739-9919
Practice Address - Fax:702-739-3404
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01084111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor