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Individual
FREDRIC T LO
Active
Individual
FREDRIC T LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00026725
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0171299
LIWA
WA
05
—
8120941
—
WA
01
—
LO1176
BSWA
WA
01
—
LO6879
BSWA
WA
Enumeration date
06/21/2006
Last updated
02/28/2008
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