Provider Demographics
NPI:1689803728
Name:DO, ALEXANDER (LAC)
Entity Type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:
Last Name:DO
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2727 NICOLLET AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-1639
Mailing Address - Country:US
Mailing Address - Phone:612-770-3453
Mailing Address - Fax:
Practice Address - Street 1:2727 NICOLLET AVE STE 5
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-1639
Practice Address - Country:US
Practice Address - Phone:612-770-3453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-10
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1296171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist