Individual
AILEEN LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3737 MARKET ST FL 4, PHILADELPHIA, PA 19104-5544
(215) 554-0109
Mailing address
3737 MARKET ST, PHILADELPHIA, PA 19104-5545
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP033978
PA
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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