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NPI 1073268702

IndividualActive

Tim Lao, CSCS

NPI 1073268702 · Prevention Professional · Charlotte, NC

Provider details

NPI number: 1073268702
Entity type: Individual
Primary specialty: Prevention ProfessionalOther Service Providers
Credential: CSCS
Sex: Male
Sole proprietor: No
License: 200217169 (GA)

Practice location

4651 Charlotte Park Dr Ste 300

Charlotte, NC 28217-1916

Phone: (704) 529-6161

More NC providers

Mailing address

4651 Charlotte Park Dr Ste 300

Charlotte, NC 28217-1916

Registry dates

Enumerated: 2022-02-22
Last updated: 2022-02-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Tim Lao, CSCS — NPI 1073268702, Charlotte, NC | NPI Central