Provider Demographics
NPI:1184807893
Name:LUZOD, DEVIN J (DC)
Entity type:Individual
Prefix:DR
First Name:DEVIN
Middle Name:J
Last Name:LUZOD
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 1:8910 W TROPICANA AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-8131
Mailing Address - Country:US
Mailing Address - Phone:702-944-4673
Mailing Address - Fax:702-944-4672
Practice Address - Street 1:8910 W TROPICANA AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-8131
Practice Address - Country:US
Practice Address - Phone:702-944-4673
Practice Address - Fax:702-944-4672
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-17
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0101001052560111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor