Individual
LO WA YU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
757 WESTWOOD PLZ STE 8501, LOS ANGELES, CA 90095-6504
(310) 794-3109
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
643258
NY
363LF0000X
Family Nurse Practitioner
F338630
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
95004498
CA
Other
Enumeration date
03/12/2013
Last updated
10/13/2022
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