Individual
LON S TITEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4660 S EASTERN AVE, SUITE 202, LAS VEGAS, NV 89119-6137
(702) 598-0500
(702) 433-0029
Mailing address
2956 FOXTAIL CREEK AVE, HENDERSON, NV 89052-7077
(702) 598-0500
(702) 433-0029
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
16902
CA
111N00000X
Chiropractor
Primary
B01059
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16902
CALIFORNIA LICENSE NUMBER
CA
01
—
B01059
NEVADA LICENSE NUMBER
NV
Enumeration date
08/08/2006
Last updated
07/08/2007
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