Individual
MS. ANNIE LAIKWAN LO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4643 217TH ST, BAYSIDE, NY 11361-3529
(718) 637-7359
Mailing address
4643 217TH ST, BAYSIDE, NY 11361-3529
(718) 637-7359
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
041729
NY
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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