Individual
DR. HERBERT K LO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1901 S UNION AVE, B 4001, TACOMA, WA 98405-1804
(253) 572-4848
(253) 572-1803
Mailing address
1901 S UNION AVE, B 4001, TACOMA, WA 98405-1804
(253) 572-4848
(253) 572-1803
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000196
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14782
L & I
—
05
—
1509900
—
WA
01
—
480026084
RAILROAD MEDICARE
—
01
—
L00183
REGENCE
—
Enumeration date
07/06/2006
Last updated
12/16/2009
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