Individual
DR. JESSICA LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
310 E 14TH ST, SUITE 219, NEW YORK, NY 10003-4201
(212) 505-6650
Mailing address
310 E 14TH ST, SUITE 219, NEW YORK, NY 10003-4201
(212) 505-6650
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008052
NY
Other
Enumeration date
07/23/2013
Last updated
08/02/2016
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