Individual
DR. EDDIE P LO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2302 S UNION AVE STE B18, TACOMA, WA 98405-1333
(253) 572-4848
(253) 572-1803
Mailing address
2302 S UNION AVE STE B18, TACOMA, WA 98405-1333
(253) 572-4848
(253) 572-1803
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PO00000633
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1106012
—
WA
01
—
215606
LABOR AND INDUSTRIES
WA
05
—
8473167
—
WA
01
—
LO2467
REGENCE
WA
01
—
P00434092
MEDICARE RAILROAD
WA
Enumeration date
06/08/2006
Last updated
03/25/2024
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