Individual
JUSTIN LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1959 NE PACIFIC ST BOX 356540, SEATTLE, WA 98195-0001
(206) 543-2474
(206) 543-2958
Mailing address
1959 NE PACIFIC ST BOX 356540, SEATTLE, WA 98195-0001
(206) 543-2474
(206) 543-2958
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MDRE.ML.70112689
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
04/20/2026
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