Individual
CHAI THAO LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
525 PORTLAND AVE # MC963, MINNEAPOLIS, MN 55415-1533
(612) 348-5553
Mailing address
525 PORTLAND AVE # MC963, MINNEAPOLIS, MN 55415-1533
(612) 348-5553
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4282
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
X064296378810
MN
Other
Enumeration date
11/12/2015
Last updated
01/23/2024
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