Individual
DR. KUON S LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 WASHINGTON ST, DORCHESTER, MA 02124
(617) 696-3800
(617) 696-3811
Mailing address
1100 WASHINGTON ST, DORCHESTER, MA 02124-5520
(617) 696-3800
(617) 696-3811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
253644
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110094150A
—
MA
Enumeration date
07/01/2008
Last updated
05/22/2025
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