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Individual

AMANDA LO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
300 HILLMONT AVE, VENTURA, CA 93003-1651
(805) 652-6000
Mailing address
47 NEW SCOTLAND AVE, ALBANY MEDICAL CENTER, DEPT OF SURGERY, ALBANY, NY 12208-3412

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A127934
CA
390200000X
Student in an Organized Health Care Education/Training Program
63101

Other

Enumeration date
04/13/2011
Last updated
10/15/2025
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