Individual
PETER LO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W HOSPITAL RD, FRENCH CAMP, CA 95231-9693
(209) 468-6000
Mailing address
500 W HOSPITAL RD, FRENCH CAMP, CA 95231-9693
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A165386
CA
Other
Enumeration date
03/22/2018
Last updated
10/24/2020
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