Individual
ALISA LOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6835 BROADWAY AVE, CLEVELAND, OH 44105-1313
(216) 957-1500
(216) 957-1823
Mailing address
6835 BROADWAY AVE, CLEVELAND, OH 44105-1313
(216) 957-1500
(216) 957-1823
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.151620
OH
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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