Individual
SHOUA LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4440 S WASHINGTON ST - ALTRU PROFESSIONAL CENTER, GRAND FORKS, ND 58201
(701) 732-7000
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
53
ND
Other
Enumeration date
10/09/2006
Last updated
02/26/2019
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