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Individual

LAURENCE F LO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
923 LEXINGTON AVE, FORT SMITH, AR 72901-4943
(479) 709-7350
(479) 709-7355
Mailing address
923 LEXINGTON AVE, FORT SMITH, AR 72901-4943
(479) 709-7350
(479) 709-7355

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
04-34106
KS
208600000X
Surgery Physician
Primary
E7308
AR
208600000X
Surgery Physician
H5339
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
133034208
TX
05
133034209
TX
05
191979001
AR
05
200591720A
OK
Enumeration date
07/12/2006
Last updated
02/15/2016
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