Individual
EMMA AVA LO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
34 PARK ST, ACUTE SERVICES, NEW HAVEN, CT 06519
(203) 974-7300
Mailing address
34 PARK ST, ACUTE SERVICES, NEW HAVEN, CT 06519
(203) 974-7300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
56591
CT
Other
Enumeration date
04/16/2015
Last updated
08/30/2019
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