Individual
BRYAN LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 HARRISON AVE, BOSTON, MA 02111-1836
(617) 636-3737
Mailing address
7 GLEASON ST UNIT 2, MALDEN, MA 02148-1360
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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