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Individual
ANTHONY LO
Active
Individual
ANTHONY LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
P206
HI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
P000000325
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001072
—
WA
01
—
225904
LABOR & INDUSTRY
WA
01
—
5891740001
DME
WA
01
—
6815LO
REGENCE
WA
01
—
P00461226
PALMETTO / RR MEDICARE
WA
Enumeration date
10/19/2006
Last updated
04/05/2016
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