Organization
FREDERIC LUO, MD, MSEE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. F LUO MD (PRESIDENT)
(480) 888-1900
Entity
Organization
Contact information
Practice address
1801 MESQUITE AVE, SUITE 102, LAKE HAVASU CITY, AZ 86403-5664
(480) 888-1900
(480) 888-1934
Mailing address
1801 MESQUITE AVE, SUITE 102, LAKE HAVASU CITY, AZ 86403-5664
(480) 888-1900
(480) 888-1934
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31254
AZ
Other
Enumeration date
12/13/2007
Last updated
12/13/2007
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