NPI 1073268702

Tim Lao, CSCS

Practitioner Prevention Professional Charlotte, NC

Practice location

Address: 4651 Charlotte Park Dr STE 300, Charlotte, NC 28217-1916
Phone: (704) 529-6161

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 200217169 (GA)

Other Prevention Professional providers in North Carolina →

Registry record

NPI: 1073268702
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Feb 2022
Record last updated: 22 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.