Individual
DEANNA LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N STATE ST, CLINIC TOWER, SUITE A7D, LOS ANGELES, CA 90089-1001
(323) 409-7556
Mailing address
9070 OAK CREEK RD, CHERRY VALLEY, CA 92223-5816
(951) 536-4264
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
166461
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2018
Last updated
05/08/2024
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