Individual
TIM LAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSCS
Contact information
Practice address
4651 CHARLOTTE PARK DR STE 300, CHARLOTTE, NC 28217-1916
(704) 529-6161
Mailing address
4651 CHARLOTTE PARK DR STE 300, CHARLOTTE, NC 28217-1916
(704) 529-6161
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
200217169
GA
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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