Organization
LARRY J LO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY J LO MD (MD)
(209) 229-3700
Entity
Organization
Contact information
Practice address
632 W 11TH ST, SUITE 119, TRACY, CA 95376-3856
(209) 229-3700
(209) 229-3755
Mailing address
632 W 11TH ST, SUITE 119, TRACY, CA 95376-3856
(209) 229-3700
(209) 229-3755
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G54156
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G541560
—
CA
Enumeration date
01/27/2006
Last updated
03/03/2015
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