Individual
KAREN GRACE LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
8050 W JUDGE PEREZ DR, CHALMETTE, LA 70043-1734
(504) 493-2200
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
323533
LA
213ES0131X
Foot Surgery Podiatrist
00323
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099994000
—
WV
05
—
0815578
—
OH
01
—
480034391
RAILROAD MEDICARE
—
05
—
8000045
—
KY
Enumeration date
07/04/2006
Last updated
09/04/2020
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