Individual
DR. PHILIP S LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
20 BOSTON ST, SEATTLE, WA 98109
(206) 282-8120
Mailing address
20 BOSTON ST, SEATTLE, WA 98109-2319
(206) 282-8120
(206) 282-8046
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003729
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0206232
LABOR & INDUSTRIES
WA
05
—
2031672
—
WA
01
—
P00395087
RAILROAD MEDICARE
—
Enumeration date
04/19/2006
Last updated
12/20/2018
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