Provider Demographics
NPI:1447400361
Name:HARRIS, AARON LAWRENCE (DC)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:LAWRENCE
Last Name:HARRIS
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 1:715 MALL RING CIR
Mailing Address - Street 2:205
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-6665
Mailing Address - Country:US
Mailing Address - Phone:702-990-2225
Mailing Address - Fax:702-990-7711
Practice Address - Street 1:715 MALL RING CIR
Practice Address - Street 2:205
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-6665
Practice Address - Country:US
Practice Address - Phone:702-990-2225
Practice Address - Fax:702-990-7711
Is Sole Proprietor?:No
Enumeration Date:2008-09-27
Last Update Date:2008-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV000000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor