Individual
DR. PETER LOUIS LOU
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 HAWTHORNE PL, SUITE 106, BOSTON, MA 02114-2336
(617) 523-0955
(617) 523-5376
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
41309
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2061538
—
MA
01
—
704090
TUFTS HEALTH PLAN
MA
01
—
M09543
BCBS MA
MA
Enumeration date
10/26/2005
Last updated
07/08/2007
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