Individual
THEODORE C LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6122
(715) 717-4121
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8000
(781) 744-5247
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
38023
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6167241
—
MA
Enumeration date
12/29/2006
Last updated
05/17/2026
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