Individual
DR. ALBERT CHARLES LO
Active
Individual
DR. ALBERT CHARLES LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
36-090682
IL
2084P0800X
Psychiatry Physician
Primary
S7091
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01032028
BCBS
IL
01
—
1D7195
MEDICARE
TX
05
—
412995901
—
TX
Enumeration date
09/15/2005
Last updated
01/11/2021
Update your record
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