Individual
DR. ALEXANDRA MARIE LAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
270 CORNERSTONE DR STE 101, CHRIOPRACTIC NUTRITION CENTER, CARY, NC 27519-8400
(919) 461-0046
(919) 461-0231
Mailing address
4003 PORTRAIT DR, CARY, NC 27513-9660
(386) 235-6824
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3760
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134153802
CORPORATE NPI NUMBER
NC
01
—
2456082
MEDICARE PTAN
NC
Enumeration date
12/24/2007
Last updated
01/22/2009
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