Individual
JENNIFER LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
50 STANIFORD ST, BOSTON, MA 02114-2517
(617) 726-2914
Mailing address
55 FRUIT ST # BH616, BOSTON, MA 02114-2696
(617) 726-2914
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
291257
MA
Other
Enumeration date
06/18/2018
Last updated
03/23/2022
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