Individual
DR. LOON-TZIAN LO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6113 RIDGE AVE, SAINT LOUIS, MO 63133-2616
(314) 925-7525
(314) 658-9374
Mailing address
6113 RIDGE AVE, SAINT LOUIS, MO 63133-2616
(314) 925-7525
(314) 658-9374
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1999137880
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033313937
—
MO
Enumeration date
06/13/2007
Last updated
02/21/2023
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