Individual
GAOKIAB LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1703 INNOVATION DR STE 3136, YORK, PA 17408-8815
(717) 741-3449
Mailing address
5018 VISTA CT, MOHNTON, PA 19540-9011
(484) 335-3126
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA063305
PA
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
03/03/2022
Last updated
12/20/2022
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