Individual
DAVID LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
27810 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5916
(470) 816-1301
Mailing address
3829 BOULDER CANYON DR, CASTRO VALLEY, CA 94552-5423
(510) 709-9789
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20A18679
CA
207P00000X
Emergency Medicine Physician
Primary
25MB10889200
NJ
207P00000X
Emergency Medicine Physician
5101027279
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0863238
—
NJ
Enumeration date
03/20/2018
Last updated
06/09/2023
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