Provider Demographics
NPI:1861970808
Name:LAROS, ADRIAN CORNELIUS (DC)
Entity type:Individual
Prefix:
First Name:ADRIAN
Middle Name:CORNELIUS
Last Name:LAROS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8202 RENAISSANCE PKWY STE 108
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-6694
Mailing Address - Country:US
Mailing Address - Phone:919-316-7957
Mailing Address - Fax:919-977-2639
Practice Address - Street 1:8202 RENAISSANCE PKWY STE 108
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-6694
Practice Address - Country:US
Practice Address - Phone:919-316-7957
Practice Address - Fax:919-977-2639
Is Sole Proprietor?:No
Enumeration Date:2018-08-01
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4838111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor