Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tim Lao, CSCS

Individual provider Prevention Professional · NPI 1073268702

Tim Lao, CSCS is a Prevention Professional in Charlotte, North Carolina. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2022
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Practice location Address checks out

4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916
Phone: (704) 529-6161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 739 Roxholly Ln, Buford, GA 30518-8533 — (678) 895-4382

Specialties & licences

Prevention Professional (primary) Taxonomy 405300000X · Licence 200217169 (GA)

Record details

NPI number1073268702
Entity typeIndividual (Type 1)
GenderMale
Credentials CSCS
Sole proprietorNo
NPI enumeratedFebruary 22, 2022
Last updated in NPPESFebruary 22, 2022
Certification dateFebruary 22, 2022
Mailing address4651 Charlotte Park Dr Ste 300, Charlotte, NC 28217-1916

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